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General NPI Number Information
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NPI Number | 1215535570
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Entity Type | Organization
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Legal Business Name | SEVA PRECISION LABS LLC
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 6048A S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74145-9212
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Country | US
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Telephone | 918-935-3243
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 LAKEPOINTE DR STE 700
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City | LEWISVILLE
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State | TX
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Zip | 75057-6442
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | AMIT MIRCHANDANI
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Credential | MD
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Telephone | 469-200-6239
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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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