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General NPI Number Information
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NPI Number | 1659009991
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Entity Type | Organization
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Legal Business Name | NAVONIUM LLC
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Dates
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Enumeration Date | 08/14/2022
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 142 W 57TH ST STE 9-128
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City | NEW YORK
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State | NY
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Zip | 10019-3300
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Country | US
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Telephone | 646-963-9222
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Fax |
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Provider Business Mailing Address
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Address Line | 142 W 57TH ST FL 11
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City | NEW YORK
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State | NY
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Zip | 10019-3590
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Country | US
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Telephone | 646-963-9222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BASANEL AKILOV
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Credential |
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Telephone | 646-421-4911
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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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