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General NPI Number Information
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NPI Number | 1508828773
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Entity Type | Organization
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Legal Business Name | IN-VITRO DIAGNOSTICS INC
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 7100 OLD MCGREGOR RD SUITE A
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City | WACO
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State | TX
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Zip | 76712-6120
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Country | US
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Telephone | 512-246-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | ROUND ROCK
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State | TX
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Zip | 78680-0400
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Country | US
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Telephone | 512-246-9000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM W MASON
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Credential |
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Telephone | 512-246-9000
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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 | 45D0659993
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License Number State | TX
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