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General NPI Number Information
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NPI Number | 1437805470
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Entity Type | Organization
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Legal Business Name | LIMO LAB GROUP LLC
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 1111 W MOCKINGBIRD LN STE 550
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City | DALLAS
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State | TX
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Zip | 75247-5018
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Country | US
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Telephone | 214-881-9646
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Fax | 800-553-6194
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Provider Business Mailing Address
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Address Line | 1111 W MOCKINGBIRD LN STE 550
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City | DALLAS
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State | TX
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Zip | 75247-5018
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Country | US
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Telephone | 214-881-9646
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Fax |
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | UNIQUE HUNNICUTT
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Credential |
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Telephone | 214-881-9646
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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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