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General NPI Number Information
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NPI Number | 1588547426
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Entity Type | Organization
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Legal Business Name | PC LABX, LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 4095 SOUTHERN BLVD STE 207
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-1404
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Country | US
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Telephone | 561-402-6838
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Fax |
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Provider Business Mailing Address
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Address Line | 4095 SOUTHERN BLVD STE 207
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-1404
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Country | US
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Telephone | 561-402-6838
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | GARY NUGENT
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Credential |
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Telephone | 561-402-6838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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