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General NPI Number Information
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NPI Number | 1689850497
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Entity Type | Organization
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Legal Business Name | REGIONAL MEDICAL LABORATORY
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 2110 N NAVARRO ST
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City | VICTORIA
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State | TX
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Zip | 77901-4829
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Country | US
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Telephone | 361-575-4821
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Fax | 361-575-0871
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Provider Business Mailing Address
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Address Line | 2110 N NAVARRO ST
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City | VICTORIA
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State | TX
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Zip | 77901-4829
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Country | US
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Telephone | 361-575-4821
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Fax | 361-575-0871
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Authorized Official
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Title or Position | BILLING CLERK
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Name | BEVERLY HELMERS
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Credential |
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Telephone | 361-575-4821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | E5085
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License Number State | TX
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