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General NPI Number Information
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NPI Number | 1366728545
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Entity Type | Organization
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Legal Business Name | ZION LABORATORY SERVICES, INC.
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 420 W SAM HOUSTON BLVD SUITE B2
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City | PHARR
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State | TX
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Zip | 78577-5350
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Country | US
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Telephone | 956-464-2926
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4003
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City | MCALLEN
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State | TX
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Zip | 78502-4003
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Country | US
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Telephone | 956-464-2926
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DULCE CONDE
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Credential |
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Telephone | 956-464-2926
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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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