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General NPI Number Information
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NPI Number | 1225198096
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Entity Type | Organization
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Legal Business Name | SHORE AREA INVITRO LABS PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 475 HIGHWAY 70 SECOND FLOOR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5897
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Country | US
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Telephone | 732-363-0907
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Fax | 732-363-2004
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Provider Business Mailing Address
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Address Line | 475 HIGHWAY 70 SECOND FLOOR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5897
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Country | US
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Telephone | 732-363-0907
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Fax | 732-363-2004
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ALLEN MORGAN
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Credential | MD
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Telephone | 732-363-0907
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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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