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General NPI Number Information
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NPI Number | 1689194490
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Entity Type | Organization
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Legal Business Name | CARETOX LABS INC
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 08/10/2017
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Provider Practice Location Address
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Address Line | 5228 W FOND DU LAC AVE
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City | MILWAUKEE
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State | WI
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Zip | 53216-1346
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Country | US
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Telephone | 845-222-3548
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SCHUNNEMUNK RD UNIT 202
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City | MONROE
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State | NY
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Zip | 10950-6257
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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 | PRESIDENT
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Name | ISAAC FREUND
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Credential |
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Telephone | 414-877-0199
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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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