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General NPI Number Information
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NPI Number | 1497933162
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Entity Type | Organization
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Legal Business Name | MILLENNIUM HEALTH, LLC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 16981 VIA TAZON
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City | SAN DIEGO
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State | CA
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Zip | 92127-1645
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Country | US
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Telephone | 877-451-7337
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Fax | 858-408-3597
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Provider Business Mailing Address
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Address Line | P.O. BOX 841773
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City | DALLAS
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State | TX
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Zip | 75284
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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 | CHIEF FINANCIAL OFFICER
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Name | ROBERT NEIL THOMAS
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Credential |
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Telephone | 877-451-7337
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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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