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General NPI Number Information
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NPI Number | 1619357183
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Entity Type | Organization
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Legal Business Name | UNITEC LABORATORIES INC
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Dates
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Enumeration Date | 05/31/2015
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 527 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-3402
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Country | US
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Telephone | 888-522-7247
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Fax |
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Provider Business Mailing Address
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Address Line | 785 DELAWARE AVE
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City | DELMAR
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State | NY
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Zip | 12054-9713
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Country | US
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Telephone | 361-944-9554
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | WOLF HOFFMAN
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Credential |
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Telephone | 718-534-5227
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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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