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General NPI Number Information
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NPI Number | 1285307561
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Entity Type | Organization
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Legal Business Name | ARBELOS GENOMICS INC
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Dates
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Enumeration Date | 07/31/2021
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13768 ROSWELL AVE STE 121
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City | CHINO
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State | CA
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Zip | 91710-1404
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Country | US
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Telephone | 626-463-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 1542 HIGH BLUFF DR
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City | DIAMOND BAR
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State | CA
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Zip | 91765-2630
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Country | US
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Telephone | 626-463-8162
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Fax |
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | DANIEL CHEN
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Credential | MD, PH.D.
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Telephone | 626-463-8162
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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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