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NPI 1477355790

NPI 1477355790 : ASPARGO LABS, INC. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1477355790
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASPARGO LABS, INC. 
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Dates
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    Enumeration Date     |    03/26/2025
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    17 STATE ST STE 3220 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10004-1538
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    Country              |    US
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    Telephone            |    201-376-5451
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17 STATE ST STE 3220 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10004-1538
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    Country              |    US
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    Telephone            |    201-376-5451
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF REGULATORY OFFICER
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    Name                 |    MR. MARIO  GURALNIK 
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    Credential           |    PHD
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    Telephone            |    201-376-5451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1100X
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    Taxonomy Name        |    Research Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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Taxonomy #3
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    Taxonomy Code        |    3336M0002X
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    Taxonomy Name        |    Mail Order Pharmacy
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    License Number       |    
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    License Number State |    
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