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General NPI Number Information
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NPI Number | 1609951615
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW CLINICAL LAB INC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4514 N 16TH ST
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City | PHOENIX
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State | AZ
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Zip | 85016-5304
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Country | US
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Telephone | 602-297-0828
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Fax | 602-297-0829
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Provider Business Mailing Address
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Address Line | 4514 N 16TH ST
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City | PHOENIX
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State | AZ
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Zip | 85016-5304
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Country | US
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Telephone | 602-297-0828
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Fax | 602-297-0829
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMUEL ABADJIAN
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Credential |
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Telephone | 602-297-0828
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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 | AZ
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