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General NPI Number Information
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NPI Number | 1265060289
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Entity Type | Organization
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Legal Business Name | BIOTIA, INC.
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 140 58TH ST. BUILDING A SUITE 8J
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City | BROOKLYN
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State | NY
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Zip | 11220-1122
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Country | US
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Telephone | 724-970-4879
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Fax |
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Provider Business Mailing Address
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Address Line | 140 58TH ST. BUILDING A SUITE 8J
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City | BROOKLYN
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State | NY
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Zip | 11220-2539
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Country | US
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Telephone | 724-970-4879
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Fax |
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Authorized Official
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Title or Position | CEO AND CO-FOUNDER
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Name | NIAMH B O'HARA
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Credential | PHD
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Telephone | 845-405-6461
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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 |
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License Number State |
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