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General NPI Number Information
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NPI Number | 1164375705
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Entity Type | Organization
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Legal Business Name | TWIN PILLARS DIAGNOSTICS LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 281 CARL VINSON PKWY STE C
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City | WARNER ROBINS
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State | GA
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Zip | 31088-1803
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Country | US
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Telephone | 757-339-7813
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ASHLEY NICOLE AVE
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City | BONAIRE
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State | GA
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Zip | 31005-5627
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Country | US
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Telephone | 757-339-7813
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAVEN MAY
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Credential | OWNER/DIRECTOR
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Telephone | 757-339-7813
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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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