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General NPI Number Information
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NPI Number | 1508722687
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Entity Type | Organization
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Legal Business Name | ROZAYE'S LAB ON THE GO
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Dates
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Enumeration Date | 01/01/2026
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 1548 W 17TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-4806
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Country | US
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Telephone | 904-598-9431
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7553
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City | JACKSONVILLE
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State | FL
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Zip | 32238-0553
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Country | US
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Telephone | 904-598-9431
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROSALYN GILBERT
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Credential |
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Telephone | 904-598-9431
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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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