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General NPI Number Information
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NPI Number | 1639822083
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Entity Type | Organization
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Legal Business Name | FOXX LABORATORIES AND SCREENING
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 2625 SANDY PLAINS RD STE 101
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City | MARIETTA
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State | GA
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Zip | 30066-4290
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Country | US
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Telephone | 470-487-2245
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Fax | 678-623-8880
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Provider Business Mailing Address
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Address Line | 3774 RIVER ROCK RD
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City | LITHONIA
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State | GA
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Zip | 30038-3383
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Country | US
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Telephone | 470-350-4396
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARISMA SONYA GEORGE
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Credential |
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Telephone | 470-350-4396
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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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