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General NPI Number Information
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NPI Number | 1659043503
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Entity Type | Organization
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Legal Business Name | PLEXUSDX INC
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 6110 MCFARLAND STATION DR UNIT 604
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City | ALPHARETTA
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State | GA
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Zip | 30004-6808
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Country | US
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Telephone | 470-300-8838
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Fax |
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Provider Business Mailing Address
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Address Line | 6110 MCFARLAND STATION DR UNIT 604
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City | ALPHARETTA
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State | GA
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Zip | 30004-6808
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Country | US
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Telephone | 470-300-8838
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL HUGH O'NEILL
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Credential |
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Telephone | 774-719-4425
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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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