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General NPI Number Information
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NPI Number | 1518546829
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Entity Type | Organization
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Legal Business Name | RAPID DIAGNOSTICS, LLC.
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 16631 LANCASTER HWY STE 103
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City | CHARLOTTE
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State | NC
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Zip | 28277-4905
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Country | US
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Telephone | 980-430-1373
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Fax |
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Provider Business Mailing Address
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Address Line | 16631 LANCASTER HWY STE 103
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City | CHARLOTTE
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State | NC
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Zip | 28277-4905
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Country | US
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Telephone | 980-430-1373
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. RYAN JAMISON MOTTE
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Credential | RPH
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Telephone | 252-414-0104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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