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General NPI Number Information
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NPI Number | 1659511822
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Entity Type | Organization
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Legal Business Name | BIOPSY DIAGNOSTICS, PC
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 2300 MARSH POINT RD STE. 303
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City | NEPTUNE BEACH
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State | FL
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Zip | 32266
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Country | US
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Telephone | 843-379-2939
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Fax | 843-379-2949
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Provider Business Mailing Address
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Address Line | 49 BROWNS COVE RD STE. 6
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City | RIDGELAND
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State | SC
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Zip | 29936-8182
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Country | US
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Telephone | 843-379-2939
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Fax | 843-379-2949
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | WEIJIAN ZHU
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Credential | M.D.
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Telephone | 843-379-2939
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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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