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General NPI Number Information
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NPI Number | 1619384716
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Entity Type | Organization
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Legal Business Name | AIM LABORATORIES LLC
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 2225 CENTENNIAL DR SUITE 102
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City | GAINESVILLE
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State | GA
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Zip | 30504-5760
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Country | US
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Telephone | 678-276-8412
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Fax |
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Provider Business Mailing Address
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Address Line | 103 OXFORD CT
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1535
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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 | CEO
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Name | DAVID PUGLIESE
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Credential |
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Telephone | 561-201-8850
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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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