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General NPI Number Information
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NPI Number | 1245926740
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Entity Type | Organization
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Legal Business Name | ACCURATE CHECK SCREENING & LAB
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 425 W AIRLINE HWY STE L
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City | LA PLACE
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State | LA
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Zip | 70068-3818
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Country | US
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Telephone | 504-881-5538
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Fax | 504-324-0659
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Provider Business Mailing Address
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Address Line | 425 W AIRLINE HWY STE L
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City | LA PLACE
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State | LA
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Zip | 70068-3818
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Country | US
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Telephone | 504-881-5538
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANEISHA Q BUCKLES
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Credential |
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Telephone | 504-881-5538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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