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General NPI Number Information
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NPI Number | 1629578166
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Entity Type | Organization
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Legal Business Name | SCIENTIFIC MARKETING INSTRUMENTATION AND LABORATORY INC.
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 26797 HANNA RD BLDG 4 STE 7D
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City | CONROE
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State | TX
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Zip | 77385-6630
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Country | US
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Telephone | 832-813-5880
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Fax | 210-549-2837
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Provider Business Mailing Address
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Address Line | 26797 HANNA RD BLDG 4 STE 7D
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City | CONROE
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State | TX
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Zip | 77385-6630
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Country | US
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Telephone | 832-813-5880
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Fax | 210-549-2837
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Authorized Official
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Title or Position | OWNER
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Name | PAUL ADAM WEXLER
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Credential |
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Telephone | 979-450-6468
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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 | 45D2104193
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License Number State | TX
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