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NPI 1447855952

NPI 1447855952 : BESURE TESTING INC. : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1447855952
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    Entity Type          |    Organization 
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    Legal Business Name  |    BESURE TESTING INC. 
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Dates
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    Enumeration Date     |    12/02/2020
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    Last Update Date     |    02/15/2022
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Provider Practice Location Address
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    Address Line         |    204 MUIRS CHAPEL RD STE 342 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27410-6173
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    Country              |    US
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    Telephone            |    336-740-2277
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    204 MUIRS CHAPEL RD STE 342 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27410-6173
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    Country              |    US
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    Telephone            |    336-740-2277
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     HENRY  GRAUSE 
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    Credential           |    
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    Telephone            |    703-629-8300
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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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