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General NPI Number Information
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NPI Number | 1407419955
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Entity Type | Organization
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Legal Business Name | ALFA LABS INC
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 08/20/2023
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Provider Practice Location Address
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Address Line | 101 WOODWINDS INDUSTRIAL CT STE L
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City | CARY
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State | NC
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Zip | 27511-6241
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Country | US
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Telephone | 612-865-6261
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Fax |
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Provider Business Mailing Address
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Address Line | 509 FOUNDERS WALK DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-5796
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Country | US
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Telephone | 919-888-9764
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | VICTOR ANBALAGAN
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Credential |
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Telephone | 919-888-9764
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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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