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General NPI Number Information
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NPI Number | 1184465361
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Entity Type | Organization
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Legal Business Name | GLOBAL PREMIER FERTILITY RHW LAB LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 23141 MOULTON PKWY STE 204
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1204
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Country | US
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Telephone | 949-848-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 18401 VON KARMAN AVE STE 400
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City | IRVINE
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State | CA
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Zip | 92612-1723
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Country | US
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Telephone | 833-473-4733
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ANDREA MENENDEZ
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Credential |
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Telephone | 310-591-4453
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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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