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General NPI Number Information
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NPI Number | 1437710415
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Entity Type | Organization
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Legal Business Name | STAGEZERO LIFE SCIENCES INC
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 8751 PARK CENTRAL DR STE 200
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City | RICHMOND
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State | VA
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Zip | 23227-1162
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Country | US
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Telephone | 804-261-3340
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Fax | 804-515-7291
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Provider Business Mailing Address
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Address Line | 8751 PARK CENTRAL DR STE 200
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City | RICHMOND
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State | VA
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Zip | 23227-1162
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Country | US
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Telephone | 804-261-3340
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Fax | 804-515-7291
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. ALFONSO CAMARENA JR.
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Credential |
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Telephone | 530-237-7910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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