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General NPI Number Information
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NPI Number | 1457425092
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Entity Type | Organization
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Legal Business Name | LAABS INC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 911 N 27TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53208-3537
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Country | US
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Telephone | 414-342-0145
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Fax |
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Provider Business Mailing Address
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Address Line | 911 N 27TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53208-3537
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Country | US
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Telephone | 414-342-0145
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS E VOLKMANN
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Credential |
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Telephone | 414-342-0145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 83-045
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License Number State | WI
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