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General NPI Number Information
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NPI Number | 1629992896
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Entity Type | Organization
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Legal Business Name | CLIENT AMENITY DIRECT LLC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 12525 TIBBETS LN UNIT 4410
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City | JACKSONVILLE
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State | FL
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Zip | 32218-2696
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Country | US
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Telephone | 470-987-8124
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Fax |
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Provider Business Mailing Address
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Address Line | 4108 BLANDING BLVD STE C
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City | JACKSONVILLE
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State | FL
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Zip | 32210-5419
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Country | US
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Telephone | 888-257-5784
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Fax | 904-820-2060
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Authorized Official
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Title or Position | COMPLIANCE DIRECTOR
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Name | SHARLYNE MARSHALL
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Credential |
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Telephone | 470-987-8124
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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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