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General NPI Number Information
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NPI Number | 1144762444
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Entity Type | Organization
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Legal Business Name | INTEGRITY CLINICAL LABS
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 104 W BALLENTINE ST
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8830
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Country | US
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Telephone | 919-890-3087
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Fax |
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Provider Business Mailing Address
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Address Line | 382 RALEIGH ST
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9047
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Country | US
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Telephone | 919-890-3087
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHNATHAN EDWARD HAROL
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Credential |
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Telephone | 919-890-3087
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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 |
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License Number State | NC
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