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General NPI Number Information
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NPI Number | 1649006917
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Entity Type | Organization
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Legal Business Name | ACCULAB PLUS LLC
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 46 E CHURCH ST STE 4
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City | MARTINSVILLE
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State | VA
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Zip | 24112-6221
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Country | US
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Telephone | 276-276-8963
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Fax | 276-644-5331
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Provider Business Mailing Address
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Address Line | 46 E CHURCH ST STE 4
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City | MARTINSVILLE
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State | VA
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Zip | 24112-6221
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Country | US
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Telephone | 276-276-8963
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Fax | 276-644-5331
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | TARIA DUNN
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Credential |
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Telephone | 276-336-1831
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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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