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General NPI Number Information
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NPI Number | 1700220589
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Entity Type | Organization
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Legal Business Name | OFIS LABS INC.
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 44 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2905
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Country | US
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Telephone | 201-871-7400
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Fax | 201-871-7403
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Provider Business Mailing Address
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Address Line | 44 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2905
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Country | US
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Telephone | 201-871-7400
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Fax | 201-871-7403
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Authorized Official
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Title or Position | OWNER
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Name | MR. BASIL KAMPESSIS
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Credential |
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Telephone | 201-871-7400
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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 | NJ
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