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General NPI Number Information
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NPI Number | 1336229582
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Entity Type | Organization
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Legal Business Name | CLINICAL DIAGNOSTICS INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 6918 RIDGE RD
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City | BALTIMORE
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State | MD
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Zip | 21237-3854
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Country | US
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Telephone | 410-687-4400
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Fax | 410-687-4495
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Provider Business Mailing Address
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Address Line | 6918 RIDGE RD
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City | BALTIMORE
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State | MD
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Zip | 21237-3854
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Country | US
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Telephone | 410-687-4400
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Fax | 410-687-4495
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Authorized Official
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Title or Position | OWNER
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Name | DR. LIYA S PFEFFER
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Credential | MD
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Telephone | 410-687-4400
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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 | D35410
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License Number State | MD
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