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General NPI Number Information
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NPI Number | 1336300060
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Entity Type | Organization
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Legal Business Name | OH-LABS LLC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 3521 OAK LAWN AVE 123
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City | DALLAS
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State | TX
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Zip | 75219-4309
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Country | US
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Telephone | 214-717-4683
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Fax | 484-970-6356
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Provider Business Mailing Address
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Address Line | PO BOX 191089 123
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City | DALLAS
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State | TX
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Zip | 75219-8089
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Country | US
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Telephone | 214-717-4683
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. DARREN F CLAIR
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Credential | MD
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Telephone | 310-275-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G51360
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License Number State | CA
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