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General NPI Number Information
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NPI Number | 1235801309
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Entity Type | Organization
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Legal Business Name | DNA APEX LLC
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 2187 CRUGER AVE APT 4L
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City | BRONX
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State | NY
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Zip | 10462-1535
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Country | US
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Telephone | 347-755-5831
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Fax | 718-509-9633
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Provider Business Mailing Address
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Address Line | 2187 CRUGER AVE APT 4L
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City | BRONX
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State | NY
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Zip | 10462-1535
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Country | US
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Telephone | 347-755-5831
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Fax | 718-509-9633
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | PAULINA DE LEON
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Credential | MOBILE PHLEBOTOMY
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Telephone | 347-755-5831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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