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General NPI Number Information
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NPI Number | 1366262974
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS LAB SERVICES
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1 MID AMERICA PLZ FL 3
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4450
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Country | US
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Telephone | 815-372-7569
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MID AMERICA PLZ FL 3
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4450
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Country | US
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Telephone | 815-372-7569
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SINTORIA MATTHEWS
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Credential | PTC
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Telephone | 815-372-7569
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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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