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General NPI Number Information
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NPI Number | 1457018681
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Entity Type | Organization
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Legal Business Name | ALL 4 YOU LAB TESTING SERVICES
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 3772 PLEASANTDALE RD
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City | ATLANTA
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State | GA
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Zip | 30340-5676
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Country | US
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Telephone | 678-523-9079
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 691
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City | ROSWELL
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State | GA
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Zip | 30077-0691
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Country | US
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Telephone | 678-523-9079
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA PITTMAN
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Credential |
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Telephone | 414-745-4802
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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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