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General NPI Number Information
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NPI Number | 1184081796
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Entity Type | Organization
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Legal Business Name | PRECERA BIOSCIENCE, INC.
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 06/01/2018
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Provider Practice Location Address
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Address Line | 393 NICHOL MILL LN SUITE 34
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City | FRANKLIN
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State | TN
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Zip | 37067
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Country | US
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Telephone | 615-933-0900
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Fax | 615-807-3193
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Provider Business Mailing Address
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Address Line | 393 NICHOL MILL LN SUITE 34
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City | FRANKLIN
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State | TN
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Zip | 37067-8324
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Country | US
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Telephone | 615-933-0900
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Fax | 615-807-3193
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Authorized Official
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Title or Position | SENIOR VP BUSINESS DEVELOPMENT
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Name | MRS. BETTY HAWKINS
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Credential |
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Telephone | 615-330-6507
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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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