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General NPI Number Information
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NPI Number | 1699841221
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Entity Type | Organization
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Legal Business Name | MICROBIOLOGY SPECIALTY LAB INC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 3103 CENTER POINTE DRIVE
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-630-9522
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Fax | 956-991-9165
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Provider Business Mailing Address
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Address Line | 3103 CENTER POINTE DRIVE
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-630-9522
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Fax | 956-661-9165
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERESA ANN SAVOIE
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Credential |
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Telephone | 956-630-9522
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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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