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General NPI Number Information
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NPI Number | 1598545626
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Entity Type | Organization
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Legal Business Name | YASH FOSTER LAB
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 10800 PANAMA CITY BEACH PKWY STE 200
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2532
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Country | US
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Telephone | 850-896-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 3218 JOSIE ST
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City | PANAMA CITY
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State | FL
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Zip | 32404-3242
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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 | P
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Name | MR. YASHKUMAR V PATEL
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Credential |
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Telephone | 850-896-0808
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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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