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General NPI Number Information
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NPI Number | 1427122530
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL LABORATORIES INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 1824 NORRIS RD STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93308-2229
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Country | US
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Telephone | 661-399-5301
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Fax | 661-399-5371
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Provider Business Mailing Address
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Address Line | PO BOX 80366
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City | BAKERSFIELD
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State | CA
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Zip | 93380
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Country | US
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Telephone | 661-399-5301
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Fax | 661-399-5371
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. FRANK ARLINGTON EDWARDS
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Credential |
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Telephone | 661-725-5252
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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 | 05D0978885
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License Number State | CA
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