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General NPI Number Information
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NPI Number | 1699447573
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Entity Type | Organization
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Legal Business Name | A2Z BIOLABS LLC
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 1021 W WILLIAMS ST STE 102
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City | APEX
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State | NC
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Zip | 27502-3956
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Country | US
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Telephone | 919-446-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 4713 BROOK TOP CT
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City | RALEIGH
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State | NC
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Zip | 27606-3100
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Country | US
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Telephone | 919-800-8204
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RAVINDRA REDDY
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Credential |
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Telephone | 919-375-1234
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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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