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General NPI Number Information
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NPI Number | 1356721047
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Entity Type | Organization
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Legal Business Name | LOTUS CLINICAL RESEARCH LLC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 100 W CALIFORNIA BLVD UNIT 25
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City | PASADENA
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State | CA
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Zip | 91105-3010
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Country | US
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Telephone | 626-397-2392
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Fax | 626-628-3601
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Provider Business Mailing Address
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Address Line | 100 W CALIFORNIA BLVD UNIT 25
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City | PASADENA
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State | CA
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Zip | 91105-3010
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Country | US
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Telephone | 626-397-2392
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Fax | 626-628-3601
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Authorized Official
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Title or Position | OWNER, MANAGING MEMBER
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Name | NEIL K SINGLA
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Credential | M.D.
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Telephone | 626-397-3507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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