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General NPI Number Information
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NPI Number | 1356946164
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Entity Type | Organization
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Legal Business Name | CITIZENSDX LLC
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 4360 BROWNSBORO RD STE 315
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City | LOUISVILLE
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State | KY
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Zip | 40207-1642
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Country | US
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Telephone | 502-244-2441
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Fax |
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Provider Business Mailing Address
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Address Line | 4350 BROWNSBORO RD STE 210
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City | LOUISVILLE
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State | KY
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Zip | 40207-1681
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Country | US
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Telephone | 502-244-2441
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF REVENUE ASSURANCE
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Name | JOY L STEVENS
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Credential |
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Telephone | 502-244-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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