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General NPI Number Information
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NPI Number | 1346991304
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Entity Type | Organization
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Legal Business Name | INURSE LAB SERVICES LLC
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 3703 NORTH ST
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City | NACOGDOCHES
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State | TX
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Zip | 75965-2432
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Country | US
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Telephone | 936-715-7601
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Fax |
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Provider Business Mailing Address
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Address Line | 3703 NORTH ST
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City | NACOGDOCHES
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State | TX
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Zip | 75965-2432
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Country | US
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Telephone | 936-715-7601
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LASARAH EVANS
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Credential | RN
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Telephone | 936-715-7601
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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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