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General NPI Number Information
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NPI Number | 1689462293
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Entity Type | Organization
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Legal Business Name | ATARAXIS AI, INC.
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 230 SUNPORT LN STE 100
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City | ORLANDO
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State | FL
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Zip | 32809-8110
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Country | US
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Telephone | 407-442-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE # 2274
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 718-218-5515
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JAN WITOWSKI
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Credential | MD, PHD
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Telephone | 617-792-6219
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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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