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NPI 1386230308

NPI 1386230308 : TOXGLOBAL LABS LLC : SAVANNAH, GA

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General NPI Number Information
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    NPI Number           |    1386230308
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOXGLOBAL LABS LLC 
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Dates
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    Enumeration Date     |    12/14/2020
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    Last Update Date     |    12/14/2020
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Provider Practice Location Address
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    Address Line         |    10500 ABERCORN ST 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31419-1109
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    Country              |    US
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    Telephone            |    877-225-0316
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10500 ABERCORN ST 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31419-1109
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    Country              |    US
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    Telephone            |    877-225-0316
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     TARA LYNNE TURNER 
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    Credential           |    
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    Telephone            |    877-225-0316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    247ZC0005X
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    Taxonomy Name        |    Clinical Laboratory Director (Non-physician)
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    License Number       |    
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    License Number State |    
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