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General NPI Number Information
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NPI Number | 1386708816
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Entity Type | Organization
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Legal Business Name | APPLIED CLINICAL RESEARCH
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 6565 NANCY RIDGE DR
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City | SAN DIEGO
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State | CA
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Zip | 92121
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Country | US
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Telephone | 858-677-7970
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Fax | 858-677-7998
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Provider Business Mailing Address
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Address Line | 6565 NANCY RIDGE DR
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City | SAN DIEGO
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State | CA
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Zip | 92121-2251
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Country | US
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Telephone | 858-677-7970
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Fax | 858-677-7998
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Authorized Official
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Title or Position | PRESIDENT - CEO
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Name | DR. JOSEPH E GRAAS
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Credential | PHD
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Telephone | 858-677-7970
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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 | CLF 4838
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License Number State | CA
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