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General NPI Number Information
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NPI Number | 1316619653
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Entity Type | Organization
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Legal Business Name | HEALTH BY GENETICS
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 701 E FM 1626 STE 200-201
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City | AUSTIN
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State | TX
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Zip | 78748-2656
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Country | US
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Telephone | 267-253-2537
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Fax | 512-609-8349
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Provider Business Mailing Address
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Address Line | 2210 ONION CREEK PKWY UNIT 1102
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City | AUSTIN
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State | TX
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Zip | 78747-1497
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Country | US
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Telephone | 267-253-2537
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARI A LALANDE
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Credential | PHARMD
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Telephone | 512-541-0207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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