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General NPI Number Information
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NPI Number | 1306050414
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Entity Type | Organization
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Legal Business Name | CELL SCIENCE SYSTEMS, CORP.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/28/2015
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Provider Practice Location Address
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Address Line | 852 S MILITARY TRL
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-2985
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Country | US
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Telephone | 954-426-2304
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Fax | 954-428-8676
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Provider Business Mailing Address
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Address Line | 852 S MILITARY TRL
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-2985
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Country | US
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Telephone | 954-426-2304
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Fax | 954-428-8676
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. SAMY PUCCIO
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Credential |
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Telephone | 954-426-2304
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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 | 80001500
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License Number State | FL
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