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General NPI Number Information
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NPI Number | 1326699943
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Entity Type | Organization
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Legal Business Name | NHFM LABORATORY HOLDINGS LLC
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 25510 INTERSTATE 45 N STE 102
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City | SPRING
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State | TX
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Zip | 77386-1376
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Country | US
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Telephone | 281-206-7869
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Fax | 281-206-7870
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Provider Business Mailing Address
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Address Line | 25312 INTERSTATE 45 N STE 100
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City | SPRING
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State | TX
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Zip | 77386-1449
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Country | US
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Telephone | 281-206-7869
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Fax | 281-206-7870
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Authorized Official
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Title or Position | OWNER
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Name | RAVI MOPARTY
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Credential | MD
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Telephone | 618-581-7531
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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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