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General NPI Number Information
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NPI Number | 1669106175
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Entity Type | Organization
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Legal Business Name | BIOGENETICS CLINICAL RESEARCH CORP
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 15260 SW 280TH ST STE 117
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City | HOMESTEAD
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State | FL
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Zip | 33032-8187
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Country | US
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Telephone | 305-998-7885
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Fax |
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Provider Business Mailing Address
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Address Line | 15260 SW 280TH ST STE 117
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City | HOMESTEAD
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State | FL
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Zip | 33032-8187
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Country | US
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Telephone | 305-998-7885
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DONIS REGO
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Credential |
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Telephone | 53-998-7885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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