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General NPI Number Information
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NPI Number | 1629370671
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Entity Type | Organization
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Legal Business Name | BIO SCIENCE LABORATORIES, INC
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 09/05/2011
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Provider Practice Location Address
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Address Line | 1228 WANTAGH AVE
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City | WANTAGH
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State | NY
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Zip | 11793-2209
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Country | US
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Telephone | 516-221-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 26 NORFOLK DR
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City | NORTHPORT
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State | NY
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Zip | 11768-1031
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Country | US
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Telephone | 516-380-1457
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ILLONA ANN NAGY
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Credential | MT(ASCP) MS
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Telephone | 631-757-3651
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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 | 2148
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License Number State | NY
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