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General NPI Number Information
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NPI Number | 1275271926
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Entity Type | Organization
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Legal Business Name | ACCESS CARE DIAGNOSTICS LLC
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 2600 K AVE STE 259
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City | PLANO
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State | TX
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Zip | 75074-5395
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Country | US
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Telephone | 800-677-7967
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Fax | 800-677-7967
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Provider Business Mailing Address
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Address Line | 12803 SWAN LAKE DR
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City | FRISCO
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State | TX
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Zip | 75033-1654
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Country | US
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Telephone | 469-771-6098
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MADOM NASH
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Credential |
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Telephone | 800-677-7967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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