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General NPI Number Information
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NPI Number | 1144465295
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Entity Type | Organization
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Legal Business Name | BIODESIX, INC.
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 12635 E MONTVIEW BLVD SUITE 211
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City | AURORA
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State | CO
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Zip | 80045-7335
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Country | US
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Telephone | 303-417-0500
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Fax | 720-859-3543
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Provider Business Mailing Address
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Address Line | 2970 WILDERNESS PL SUITE 100
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City | BOULDER
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State | CO
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Zip | 80301-5412
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Country | US
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Telephone | 303-417-0500
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Fax | 303-417-9700
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Authorized Official
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Title or Position | VP, LEGAL & REGULATORY AFFAIRS
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Name | MR. JEFFREY AUSTIN BOJAR
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Credential | JD
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Telephone | 303-417-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 06D1090464
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License Number State | CO
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