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General NPI Number Information
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NPI Number | 1174916829
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Entity Type | Organization
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Legal Business Name | THE LABORATORY SOLUTION FLORIDA INC
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 478 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1604
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Country | US
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Telephone | 954-709-6291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 668006
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City | POMPANO BEACH
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State | FL
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Zip | 33066-8006
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Country | US
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Telephone | 954-709-6291
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DENNIS TROXELL
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Credential |
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Telephone | 954-709-6291
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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 | 26073
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License Number State | FL
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