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General NPI Number Information
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NPI Number | 1245255165
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Entity Type | Organization
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Legal Business Name | TURNER PARASITOLOGY
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 519 W CARSON ST SUITE 104
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City | CARSON
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State | CA
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Zip | 90745-2642
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Country | US
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Telephone | 310-212-6559
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Fax | 310-212-7367
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Provider Business Mailing Address
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Address Line | 519 W CARSON ST SUITE 104
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City | CARSON
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State | CA
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Zip | 90745-2642
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Country | US
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Telephone | 310-212-6559
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Fax | 310-212-7367
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Authorized Official
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Title or Position | LABORATORY MANAGER OWNER
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Name | MARILYN J CARROLL
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Credential | MT ASCP
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Telephone | 310-212-6559
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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 | CLF4223
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License Number State | CA
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