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General NPI Number Information
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NPI Number | 1710211974
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Entity Type | Organization
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Legal Business Name | WELLINGTON CLINICAL LABORATORY CONSULTANTS, LLC
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 35 LEXINGTON WAY N
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City | MILFORD
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State | CT
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Zip | 06461-1855
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Country | US
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Telephone | 203-877-9246
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Fax | 203-877-9584
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Provider Business Mailing Address
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Address Line | 35 LEXINGTON WAY N
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City | MILFORD
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State | CT
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Zip | 06461-1855
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Country | US
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Telephone | 203-877-9246
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Fax | 203-877-9584
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS J TINGHITELLA
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Credential | PH.D.
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Telephone | 203-877-9246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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