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General NPI Number Information
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NPI Number | 1376297515
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Entity Type | Organization
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Legal Business Name | CMB INDUSTRIES LLC
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 10007 N MAIN ST
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City | RICHMOND
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State | IL
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Zip | 60071-9466
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Country | US
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Telephone | 224-532-3898
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 230
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City | RINGWOOD
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State | IL
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Zip | 60072-0230
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Country | US
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Telephone | 815-814-0634
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTIAN M BROWN
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Credential |
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Telephone | 815-814-0634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246QC1000X
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Taxonomy Name | Chemistry Pathology Specialist/Technologist
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License Number |
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License Number State |
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