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General NPI Number Information
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NPI Number | 1508644782
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Entity Type | Organization
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Legal Business Name | QUICK FLOW LABS LLC
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 4214 INDIAN RIVER RD
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City | CHESAPEAKE
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State | VA
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Zip | 23325-3042
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Country | US
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Telephone | 757-663-7413
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Fax | 757-282-2644
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Provider Business Mailing Address
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Address Line | 4214 INDIAN RIVER RD
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City | CHESAPEAKE
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State | VA
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Zip | 23325-3042
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Country | US
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Telephone | 757-663-7413
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Fax | 757-282-2644
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Authorized Official
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Title or Position | OWNER
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Name | TASIA WILLIAMS
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Credential | CERTIFIED LAB TECH
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Telephone | 757-270-1267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 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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