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General NPI Number Information
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NPI Number | 1679918296
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Entity Type | Organization
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Legal Business Name | K&D LABORATORIES, INC.
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 6305 ROSEWOOD ST STE B
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-5388
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Country | US
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Telephone | 503-297-3636
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Fax | 503-977-3636
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Provider Business Mailing Address
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Address Line | 6305 SW ROSEWOOD STREET SUITE B
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-5388
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Country | US
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Telephone | 503-297-3636
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Fax | 503-977-3636
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JAMES G. HALL
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Credential |
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Telephone | 775-525-2733
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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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