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General NPI Number Information
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NPI Number | 1164881702
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Entity Type | Organization
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Legal Business Name | CURESEQ INC.
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 14401 SE 1ST ST
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City | VANCOUVER
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State | WA
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Zip | 98684-3503
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Country | US
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Telephone | 415-859-5468
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Fax |
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Provider Business Mailing Address
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Address Line | 150 N HILL DR STE 14
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City | BRISBANE
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State | CA
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Zip | 94005-1023
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Country | US
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Telephone | 415-859-5468
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. BRETT ROBERTSON
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Credential |
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Telephone | 415-990-8426
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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 | 50D2123728
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License Number State | WA
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