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General NPI Number Information
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NPI Number | 1598167603
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Entity Type | Organization
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Legal Business Name | C3NEXUS, LLC
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 737 N 5TH ST
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City | RICHMOND
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State | VA
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Zip | 23219-1441
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Country | US
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Telephone | 804-643-1252
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Fax | 804-643-9760
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Provider Business Mailing Address
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Address Line | PO BOX 12028
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City | RICHMOND
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State | VA
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Zip | 23241-0028
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Country | US
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Telephone | 804-643-1252
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Fax | 804-643-9760
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Authorized Official
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Title or Position | NURSE
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Name | AMY KATHLEEN LUBINSKAS
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Credential | RN
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Telephone | 804-643-1252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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