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General NPI Number Information
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NPI Number | 1427387133
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Entity Type | Organization
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Legal Business Name | DX'S CLINICAL LABORATORIES
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 230 CALIFORNIA ST STE 405
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-4301
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Country | US
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Telephone | 415-812-9637
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 N SAN FERNANDO BLVD SUITE B
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City | BURBANK
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State | CA
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Zip | 91504-4152
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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 | FREDRICK A VALAURI
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Credential |
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Telephone | 415-812-9637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State | CA
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