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General NPI Number Information
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NPI Number | 1174684856
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Entity Type | Organization
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Legal Business Name | QUEST DIAGNOSTICS
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 42 MICHAEL LOOP
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City | STATEN ISLAND
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State | NY
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Zip | 10301-4639
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Country | US
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Telephone | 718-273-9427
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Fax |
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Provider Business Mailing Address
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Address Line | 42 MICHAEL LOOP
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City | STATEN ISLAND
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State | NY
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Zip | 10301-4639
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Country | US
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Telephone | 718-273-9427
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Fax |
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Authorized Official
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Title or Position | SENIOR STAFF PATHOLOGIST
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Name | DR. SANDRA L APONTE-CIPRIANI
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Credential | M.D.
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Telephone | 201-393-6302
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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 | 25MA06528500
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License Number State | NJ
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