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General NPI Number Information
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NPI Number | 1265191621
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Entity Type | Organization
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Legal Business Name | AVERTEST LLC
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 300 W MAXWELL ST
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City | LEXINGTON
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State | KY
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Zip | 40508-2508
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Country | US
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Telephone | 866-680-3106
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 W MARSHALL ST STE 100
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City | RICHMOND
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State | VA
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Zip | 23230-4808
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR. PAYER RELATIONS ASSOCIATE
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Name | MELISSA FRANZUA RIOS
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Credential |
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Telephone | 804-500-9813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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