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General NPI Number Information
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NPI Number | 1588301493
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Entity Type | Organization
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Legal Business Name | VERICI DX INC
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 393 NICHOL MILL LN STE 200
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City | FRANKLIN
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State | TN
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Zip | 37067-8324
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Country | US
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Telephone | 833-243-4552
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Fax | 629-235-4545
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Provider Business Mailing Address
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Address Line | 393 NICHOL MILL LN STE 200
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City | FRANKLIN
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State | TN
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Zip | 37067-8324
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Country | US
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Telephone | 833-243-4552
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Fax | 629-235-4545
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Authorized Official
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Title or Position | COO
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Name | PATRICIA CONNOLLY
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Credential |
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Telephone | 317-373-4411
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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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