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General NPI Number Information
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NPI Number | 1639413644
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Entity Type | Organization
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Legal Business Name | NAPA BIOMEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 3444 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2415
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Country | US
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Telephone | 707-252-4507
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Fax | 707-258-2780
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Provider Business Mailing Address
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Address Line | 3444 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2415
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Country | US
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Telephone | 707-252-4507
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Fax | 707-258-2780
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Authorized Official
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Title or Position | OWNER
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Name | ERIC GRIGSBY
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Credential | M.D.
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Telephone | 707-252-4507
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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 | CLF00343301
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License Number State | CA
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