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General NPI Number Information
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NPI Number | 1205447992
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Entity Type | Organization
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Legal Business Name | SIGMUND LABS LLC
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 900 SOUTH AVE STE 404
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3429
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Country | US
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Telephone | 800-518-2709
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Fax | 800-518-2709
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Provider Business Mailing Address
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Address Line | 78 JOHN MILLER WAY STE 1001
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City | KEARNY
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State | NJ
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Zip | 07032-6500
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Country | US
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Telephone | 201-431-8884
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEWIS SCALIONE
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Credential |
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Telephone | 800-518-2709
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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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