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General NPI Number Information
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NPI Number | 1437162302
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Entity Type | Organization
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Legal Business Name | ACCUTOX, INC.
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 105 IH 10 S
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City | BEAUMONT
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State | TX
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Zip | 77702-2551
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Country | US
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Telephone | 409-813-2228
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Fax | 409-813-1106
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Provider Business Mailing Address
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Address Line | 105 IH 10 S
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City | BEAUMONT
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State | TX
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Zip | 77702-2551
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Country | US
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Telephone | 409-813-2228
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Fax | 409-813-1106
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Authorized Official
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Title or Position | BILLING - CREDENTIALING SUPERVISOR
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Name | LEAH FONTENOT
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Credential |
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Telephone | 409-813-2228
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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 | 45D0999705
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License Number State | TX
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