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General NPI Number Information
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NPI Number | 1326606195
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Entity Type | Organization
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Legal Business Name | BIOMOLECULAR INTEGRATIONS INC
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 7481 WARDEN RD STE C
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City | SHERWOOD
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State | AR
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Zip | 72120-5041
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Country | US
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Telephone | 501-240-0339
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Fax |
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Provider Business Mailing Address
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Address Line | 119 COURTS LN
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City | LITTLE ROCK
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State | AR
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Zip | 72223-9018
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Country | US
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Telephone | 501-240-0339
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. AKHTAR A ALI
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Credential |
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Telephone | 501-240-0339
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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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