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General NPI Number Information
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NPI Number | 1225388408
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Entity Type | Organization
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Legal Business Name | AML DIAGNOSTICS, INC
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 154 NW 16TH STREET
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City | BOCA RATON
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State | FL
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Zip | 33432-1607
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Country | US
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Telephone | 561-999-1987
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Fax | 561-999-1989
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Provider Business Mailing Address
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Address Line | 154 NW 16TH STREET
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City | BOCA RATON
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State | FL
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Zip | 33432-1607
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Country | US
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Telephone | 561-999-1987
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Fax | 561-999-1989
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN HANDLEY
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Credential |
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Telephone | 561-999-1987
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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 | DI 2411
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License Number State | FL
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