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General NPI Number Information
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NPI Number | 1538826672
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Entity Type | Organization
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Legal Business Name | ASCEND LAB SERVICES LLC
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 1680 QUINCY AVE STE A
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City | NAPERVILLE
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State | IL
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Zip | 60540-4218
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Country | US
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Telephone | 708-724-3963
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Fax |
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Provider Business Mailing Address
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Address Line | 1680 QUINCY AVE STE A
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City | NAPERVILLE
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State | IL
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Zip | 60540-4218
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FAIZAH BILFAGI
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Credential |
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Telephone | 630-398-7078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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