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General NPI Number Information
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NPI Number | 1437039062
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Entity Type | Organization
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Legal Business Name | INTEGRATED LAB AND HEALTH
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 7335 E ACOMA DR STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3117
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Country | US
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Telephone | 480-219-8991
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Fax |
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Provider Business Mailing Address
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Address Line | 7335 E ACOMA DR STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3117
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Country | US
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Telephone | 480-219-8991
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROHIT NANIK CHANDIRAMANI
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Credential |
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Telephone | 480-818-8871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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