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General NPI Number Information
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NPI Number | 1336533918
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Entity Type | Organization
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Legal Business Name | FIRST CLASS DIAGNOSTICS LLC
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 4005 N A1A
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City | HUTCHINSON ISLAND
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State | FL
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Zip | 34949-8524
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Country | US
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Telephone | 561-365-3758
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Fax | 772-252-5470
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Provider Business Mailing Address
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Address Line | 1101 54TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2419
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Country | US
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Telephone | 561-365-3758
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Fax | 772-448-4029
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Authorized Official
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Title or Position | CFO
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Name | ANNEMARIE SINCAVAGE
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Credential |
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Telephone | 561-901-4923
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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 | 800027533
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License Number State | FL
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