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General NPI Number Information
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NPI Number | 1295520609
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Entity Type | Organization
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Legal Business Name | EOCAL STAT MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 10303 NORTHWEST FWY STE 520
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City | HOUSTON
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State | TX
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Zip | 77092-8234
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Country | US
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Telephone | 281-297-8252
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Fax | 281-392-2135
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Provider Business Mailing Address
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Address Line | 10303 NORTHWEST FWY STE 520
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City | HOUSTON
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State | TX
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Zip | 77092-8234
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Country | US
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Telephone | 281-297-8252
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Fax | 281-392-2135
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Authorized Official
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Title or Position | CEO
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Name | MS. LACOE FULTON
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Credential |
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Telephone | 281-297-8252
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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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