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NPI 1669132809

NPI 1669132809 : XAVIER INTERNATIONAL LABORATORIES : NORTH MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1669132809
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    Entity Type          |    Organization 
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    Legal Business Name  |    XAVIER INTERNATIONAL LABORATORIES 
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Dates
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    Enumeration Date     |    12/29/2021
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    Last Update Date     |    12/29/2021
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Provider Practice Location Address
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    Address Line         |    1360 NE 132ND ST 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33161-4339
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    Country              |    US
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    Telephone            |    786-320-3328
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1360 NE 132ND ST 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33161-4339
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    Country              |    US
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    Telephone            |    786-320-3328
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    PROF. DANIEL  XAVIER 
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    Credential           |    MPH
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    Telephone            |    786-320-3328
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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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