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General NPI Number Information
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NPI Number | 1649498213
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Entity Type | Organization
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Legal Business Name | PRECISE DIAGNOSTICS INC
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Dates
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Enumeration Date | 04/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3107 FAREWAY LN
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City | MT PLEASANT
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State | TX
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Zip | 75455-6731
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Country | US
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Telephone | 903-577-3001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2241
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City | MT PLEASANT
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State | TX
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Zip | 75456-2241
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Country | US
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Telephone | 903-577-3001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MONICA MATKIN
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Credential |
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Telephone | 903-577-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | D2622
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License Number State | TX
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