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General NPI Number Information
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NPI Number | 1669910931
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Entity Type | Organization
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Legal Business Name | AMCT DIAGNOSTICS CORP
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 199 MOUNTAIN DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-1608
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Country | US
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Telephone | 954-746-8232
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Fax |
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Provider Business Mailing Address
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Address Line | 199 MOUNTAIN DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-1608
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NEISHA ZAFFUTO
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Credential |
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Telephone | 954-746-8232
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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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