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General NPI Number Information
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NPI Number | 1215003603
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Entity Type | Organization
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Legal Business Name | GENOMIC HEALTH, INC.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 301 PENOBSCOT DRIVE BILLING AND REIMBURSEMENT OPS.
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City | REDWOOD CITY
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State | CA
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Zip | 94063-4700
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Country | US
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Telephone | 866-662-6897
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Fax | 866-383-1932
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Provider Business Mailing Address
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Address Line | PO BOX 735265
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City | CHICAGO
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State | IL
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Zip | 60673-5265
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Country | US
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Telephone | 866-662-6897
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Fax | 866-383-1932
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Authorized Official
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Title or Position | TREASURER
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Name | KYLE A. STACEY
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Credential |
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Telephone | 608-284-5700
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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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