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General NPI Number Information
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NPI Number | 1689322232
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Entity Type | Organization
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Legal Business Name | SM DIAGNOSTICS LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 7290 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33155-4506
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Country | US
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Telephone | 917-862-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 7290 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33155-4506
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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 | MEMBER
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Name | MRS. MAYA ROCCHIO
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Credential |
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Telephone | 917-254-5504
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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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