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General NPI Number Information
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NPI Number | 1164049524
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Entity Type | Organization
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Legal Business Name | RAPID BIOSENSE LLC
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 46701 COMMERCE CENTER DR
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City | PLYMOUTH
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State | MI
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Zip | 48170-2475
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Country | US
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Telephone | 734-255-3254
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S WAGNER RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-9002
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Country | US
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Telephone | 734-747-5225
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN WILLIAM CUNNINGHAM
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Credential |
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Telephone | 734-747-5225
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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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