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General NPI Number Information
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NPI Number | 1144837147
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Entity Type | Organization
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Legal Business Name | IVF LABORATORIES OF DC LLC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 2440 M ST NW STE 101
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City | WASHINGTON
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State | DC
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Zip | 20037-1470
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Country | US
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Telephone | 202-293-6557
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 M ST NW STE 101
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City | WASHINGTON
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State | DC
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Zip | 20037-1470
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Country | US
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Telephone | 202-293-6567
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PRESTON SACKS
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Credential | MD
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Telephone | 202-293-6567
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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 |
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