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General NPI Number Information
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NPI Number | 1699455204
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Entity Type | Organization
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Legal Business Name | BLUELION
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 2 TRIDENT DR
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City | ARDEN
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State | NC
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Zip | 28704-7744
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Country | US
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Telephone | 828-279-7659
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Fax |
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Provider Business Mailing Address
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Address Line | 2 TRIDENT DR
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City | ARDEN
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State | NC
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Zip | 28704-7744
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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 | MANAGING MEMBER
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Name | HECTOR ROMERO
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Credential |
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Telephone | 828-275-4898
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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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