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General NPI Number Information
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NPI Number | 1265740476
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Entity Type | Organization
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Legal Business Name | ACCUVANCE DIAGNOSTICS CORPORATION
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 1040 MAIN ST. SUITE B1
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City | PATERSON
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State | NJ
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Zip | 07503
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Country | US
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Telephone | 973-782-5151
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Fax | 800-965-4031
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Provider Business Mailing Address
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Address Line | 1040 MAIN ST SUITE B1
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City | PATERSON
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State | NJ
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Zip | 07503-2212
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Country | US
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Telephone | 973-782-5151
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Fax | 800-965-4031
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Authorized Official
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Title or Position | OWNER
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Name | MR. JABEEN AHMED
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Credential |
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Telephone | 973-782-5151
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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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