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General NPI Number Information
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NPI Number | 1679609515
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Entity Type | Organization
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Legal Business Name | DRL LABS LTD
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1303 N MOUND ST
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4030
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Country | US
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Telephone | 936-560-1844
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Fax | 936-564-5145
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Provider Business Mailing Address
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Address Line | PO BOX 6640
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City | TYLER
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State | TX
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Zip | 75711-6640
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Country | US
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Telephone | 903-531-8969
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. TODD HANCOCK
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Credential |
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Telephone | 903-531-8969
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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 | TX
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