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General NPI Number Information
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NPI Number | 1518772599
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Entity Type | Organization
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Legal Business Name | GENETIC SOLUTIONS LLC
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Dates
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Enumeration Date | 02/08/2025
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 513 19TH AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-5259
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Country | US
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Telephone | 601-453-5029
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Fax |
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Provider Business Mailing Address
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Address Line | 2616 EDGEWOOD DR
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City | MERIDIAN
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State | MS
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Zip | 39307-4039
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Country | US
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Telephone | 601-480-9094
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SIMONE WINDHAM
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Credential |
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Telephone | 601-480-9094
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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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