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General NPI Number Information
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NPI Number | 1497396881
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Entity Type | Organization
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Legal Business Name | LABORATORY CONCEPTS
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 2025 GENTRYSIDE DR
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City | HOUSTON
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State | TX
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Zip | 77077
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Country | US
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Telephone | 281-671-7200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 441571
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City | HOUSTON
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State | TX
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Zip | 77244-1571
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Country | US
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Telephone | 281-671-7200
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Fax |
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | STEPHANIE HALLIDAY
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Credential |
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Telephone | 832-660-8458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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