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NPI 1396470340

NPI 1396470340 : SALIENT DIAGNOSTICS, LLC : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1396470340
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    Entity Type          |    Organization 
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    Legal Business Name  |    SALIENT DIAGNOSTICS, LLC 
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Dates
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    Enumeration Date     |    07/22/2022
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    Last Update Date     |    09/28/2022
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Provider Practice Location Address
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    Address Line         |    1320 WOODMAN DR 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45432-3497
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    Country              |    US
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    Telephone            |    303-999-7260
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    BOSTON STREET 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80238
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MAGDA  APODACA 
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    Credential           |    
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    Telephone            |    303-999-7260
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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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