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General NPI Number Information
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NPI Number | 1417283623
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Entity Type | Organization
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Legal Business Name | AMERICAN FORENSIC TOXICOLOGY SERVICES LLC
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 789 PARK AVE
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City | HUNTINGTON
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State | NY
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Zip | 11743-3912
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Country | US
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Telephone | 631-923-0166
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Fax | 720-403-8010
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Provider Business Mailing Address
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Address Line | PO BOX 830525 #OWC 29
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City | BIRMINGHAM
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State | AL
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Zip | 35283-0525
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Country | US
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Telephone | 508-304-7602
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Fax |
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Authorized Official
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Title or Position | MGR OF CREDENTIALING/ENROLLMENT
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Name | SYLVIA LYNN FREEMAN
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Credential |
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Telephone | 508-304-7602
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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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