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General NPI Number Information
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NPI Number | 1578224051
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Entity Type | Organization
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Legal Business Name | KLEER LABS LLC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 741 MYRTLE AVE
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City | BROOKLYN
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State | NY
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Zip | 11205-4197
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Country | US
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Telephone | 212-457-6232
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Fax |
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Provider Business Mailing Address
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Address Line | 525 E COUNTY LINE RD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1405
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Country | US
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Telephone | 212-457-6232
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIMELECH RUBIN
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Credential |
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Telephone | 908-437-8246
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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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