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General NPI Number Information
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NPI Number | 1447492509
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Entity Type | Organization
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Legal Business Name | ANALYTICAL TOXICOLOGY CORPORATION
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 4815 FREDERICKSBURG RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3627
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Country | US
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Telephone | 210-696-7258
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Fax | 210-694-0321
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Provider Business Mailing Address
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Address Line | 4815 FREDERICKSBURG RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3627
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Country | US
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Telephone | 210-696-7258
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Fax | 210-694-0321
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Authorized Official
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Title or Position | PRESIDENT/LAB DIRECTOR
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Name | DR. HARVEY MACFENERSTEIN
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Credential | M.D., PH.D.
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Telephone | 210-696-7258
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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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