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General NPI Number Information
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NPI Number | 1245494517
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Entity Type | Organization
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Legal Business Name | EXAGEN INC.
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 1261 LIBERTY WAY STE C
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City | VISTA
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State | CA
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Zip | 92081-8356
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Country | US
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Telephone | 888-452-1522
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Fax | 760-479-6486
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Provider Business Mailing Address
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Address Line | PO BOX 27561
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-7561
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Country | US
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Telephone | 888-452-1522
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Fax | 760-479-6486
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | NIKKI KILLINGS
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Credential |
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Telephone | 760-539-3031
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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 | CLF 00334804
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License Number State | CA
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