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General NPI Number Information
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NPI Number | 1619621497
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Entity Type | Organization
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Legal Business Name | BZD LABS
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 512 N LARCHMONT BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90004-1306
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Country | US
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Telephone | 323-574-3797
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Fax |
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Provider Business Mailing Address
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Address Line | 512 N LARCHMONT BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90004-1306
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Country | US
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Telephone | 323-524-9357
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BORIS DOBRIN
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Credential |
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Telephone | 323-574-3797
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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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