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General NPI Number Information
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NPI Number | 1497363543
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Entity Type | Organization
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Legal Business Name | LABORATORY CORPORATION OF AMERICA
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 4212 NE BROADWAY RM L100
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City | PORTLAND
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State | OR
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Zip | 97213-1422
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Country | US
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Telephone | 971-361-3657
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Fax | 206-861-7367
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Provider Business Mailing Address
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Address Line | PO BOX 2240
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City | BURLINGTON
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State | NC
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Zip | 27216-2240
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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 | VICE PRESIDENT
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Name | KIMBERLY WILLIAMS
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Credential |
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Telephone | 336-436-5761
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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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