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General NPI Number Information
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NPI Number | 1649394917
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Entity Type | Organization
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Legal Business Name | KIMBALL GENETICS, INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 650 S CHERRY ST SUITE 225
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City | DENVER
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State | CO
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Zip | 80246-1801
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Country | US
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Telephone | 303-320-1807
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Fax | 303-388-9220
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Provider Business Mailing Address
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Address Line | 650 S CHERRY ST SUITE 225
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City | DENVER
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State | CO
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Zip | 80246-1801
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Country | US
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Telephone | 303-320-1807
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Fax | 303-388-9220
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. ANNETTE K TAYLOR
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Credential | M.S., PH.D.
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Telephone | 303-320-1807
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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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