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General NPI Number Information
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NPI Number | 1194116012
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Entity Type | Organization
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Legal Business Name | RK CLINICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 1145 W FAIRMONT DR
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City | TEMPE
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State | AZ
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Zip | 85282-1190
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Country | US
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Telephone | 480-275-2446
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 W FAIRMONT DR
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City | TEMPE
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State | AZ
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Zip | 85282-1190
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Country | US
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Telephone | 480-275-2446
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KELLY NELSON
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Credential |
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Telephone | 480-290-5660
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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 | AZ
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