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General NPI Number Information
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NPI Number | 1427657360
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Entity Type | Organization
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Legal Business Name | CHROM MEDICAL LABS
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 201 W MAIN ST STE 101A
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City | JENKS
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State | OK
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Zip | 74037-3939
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Country | US
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Telephone | 561-849-0635
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 W HILLSBORO BLVD STE 104
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1501
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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 | CHAIRMAN
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Name | GRAIG ROBINSON
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Credential |
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Telephone | 954-790-1104
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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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