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General NPI Number Information
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NPI Number | 1518366426
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Entity Type | Organization
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Legal Business Name | CLIFFSIDE LABS L.L.C.
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 7 DEER PARK DRIVE, STE K
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City | MONMOUTH
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State | NJ
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Zip | 08852-1977
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Country | US
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Telephone | 609-964-7620
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Fax | 732-647-1225
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Provider Business Mailing Address
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Address Line | 7 DEER PARK DRIVE, STE K
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City | MONMOUTH
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State | NJ
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Zip | 08852-1977
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Country | US
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Telephone | 609-964-7620
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Fax | 732-647-1225
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | LIAM J DUNNE
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Credential |
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Telephone | 609-964-7620
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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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