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General NPI Number Information
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NPI Number | 1295482362
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Entity Type | Organization
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Legal Business Name | ANGEL'S TOUCH TESTING SOLUTIONS LLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 1805 N MYRTLE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32209-5626
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Country | US
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Telephone | 904-982-9934
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Fax |
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Provider Business Mailing Address
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Address Line | 1826 BALDWIN ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-7004
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Country | US
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Telephone | 904-982-9934
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Fax |
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Authorized Official
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Title or Position | CHEF EXECUTIVE
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Name | ALISHA THOMAS
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Credential |
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Telephone | 904-962-2769
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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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