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General NPI Number Information
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NPI Number | 1437486065
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Entity Type | Organization
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Legal Business Name | CALIFORNIA TOXICOLOGY SERVICES
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 17197 SAN ANTONIO ROSE CT
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City | SAN DIEGO
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State | CA
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Zip | 92127
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Country | US
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Telephone | 619-838-7908
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5000 PMB 190
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-5000
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Country | US
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Telephone | 619-838-7908
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JASON HANSEN
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Credential |
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Telephone | 619-838-7908
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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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