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General NPI Number Information
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NPI Number | 1215392816
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Entity Type | Organization
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Legal Business Name | HPR LABORATORIES
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 3151 AIRWAY AVE UNIT G1
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City | COSTA MESA
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State | CA
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Zip | 92626-4607
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Country | US
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Telephone | 949-706-5215
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Fax | 657-699-3063
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Provider Business Mailing Address
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Address Line | 3151 AIRWAY AVE UNIT G1
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City | COSTA MESA
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State | CA
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Zip | 92626-4607
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Country | US
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Telephone | 949-706-5215
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Fax | 657-699-3063
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Authorized Official
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Title or Position | CFO
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Name | ALI BEHESHTI
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Credential |
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Telephone | 619-929-7956
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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 | CLA00346392
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License Number State | CA
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