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General NPI Number Information
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NPI Number | 1679168439
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Entity Type | Organization
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Legal Business Name | URGENT COVID TESTING, LLC
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 6909 TULANE DR
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City | AUSTIN
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State | TX
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Zip | 78723-2822
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Country | US
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Telephone | 916-715-7253
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Fax |
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Provider Business Mailing Address
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Address Line | 6909 TULANE DR
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City | AUSTIN
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State | TX
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Zip | 78723-2822
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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 | LABORATORY DIRECTOR
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Name | LILLIAN R GHALY
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Credential | M.S.
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Telephone | 916-715-7253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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