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General NPI Number Information
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NPI Number | 1174135073
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Entity Type | Organization
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Legal Business Name | ACCU LAB SERVICES
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 177 VALLEY ST STE D
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2836
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Country | US
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Telephone | 973-327-9101
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Fax | 862-345-9038
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Provider Business Mailing Address
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Address Line | 75 MERKEL DR
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-3128
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Country | US
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Telephone | 973-449-4852
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CELIA OGILVIE
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Credential |
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Telephone | 973-327-9101
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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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