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General NPI Number Information
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NPI Number | 1174077580
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Entity Type | Organization
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Legal Business Name | DLS RESEARCH & VENTURES
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1700 HONEY CREEK CMNS SE STE A
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City | CONYERS
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State | GA
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Zip | 30013-5842
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Country | US
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Telephone | 770-648-8951
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 HONEY CREEK CMNS SE STE A
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City | CONYERS
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State | GA
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Zip | 30013-5842
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Country | US
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Telephone | 770-648-8951
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Fax |
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Authorized Official
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Title or Position | CEO/LAB DIRECTOR
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Name | DR. DAVID LEE SCOTT JR.
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Credential | PHD
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Telephone | 770-648-8951
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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 | 291U0000X
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License Number State | GA
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