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General NPI Number Information
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NPI Number | 1376202689
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Entity Type | Organization
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Legal Business Name | CARE4ALL LAB SERVICES LLC
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 925 PAYNE AVE STE B2
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City | SAINT PAUL
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State | MN
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Zip | 55130-4280
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Country | US
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Telephone | 651-615-2344
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Fax |
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Provider Business Mailing Address
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Address Line | 925 PAYNE AVE STE B2
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City | SAINT PAUL
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State | MN
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Zip | 55130-4280
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Country | US
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Telephone | 651-615-2344
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | COA FERREN MURRELL
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Credential |
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Telephone | 651-615-2344
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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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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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