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General NPI Number Information
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NPI Number | 1497146757
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Entity Type | Organization
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Legal Business Name | SAF TOXICOLOGY, LLC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 150 NW 168TH ST STE 307
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-6051
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Country | US
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Telephone | 305-816-6503
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Fax | 786-837-8356
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Provider Business Mailing Address
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Address Line | 152 NW 168 ST. UNIT 307
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City | MIAMI
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State | FL
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Zip | 33169
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GLENN ORIGIN
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Credential |
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Telephone | 954-941-2001
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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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