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General NPI Number Information
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NPI Number | 1699918714
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Entity Type | Organization
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Legal Business Name | NATURAL MOLECULAR TESTING CORP.
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 454 N 34TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-8602
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Country | US
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Telephone | 888-442-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 454 N 34TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-8602
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Country | US
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Telephone | 888-442-8881
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Fax |
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | MR. VINCENT AOKI
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Credential | PHD
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Telephone | 206-402-4596
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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 | 602885020
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License Number State | WA
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