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General NPI Number Information
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NPI Number | 1144589615
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Entity Type | Organization
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Legal Business Name | FRANKLIN MEDICAL TESTING
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 13896 HARBOR BLVD UNIT 5C
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4045
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Country | US
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Telephone | 714-554-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 13896 HARBOR BLVD UNIT 5C
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4045
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Country | US
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Telephone | 714-554-2222
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MORTEZA SORAT
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Credential |
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Telephone | 714-554-3333
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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 | CLR00331574
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License Number State | CA
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