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General NPI Number Information
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NPI Number | 1710985353
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Entity Type | Organization
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Legal Business Name | METABOLIC SOLUTIONS LLC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 460 AMHERST ST
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City | NASHUA
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State | NH
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Zip | 03063-1220
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Country | US
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Telephone | 603-598-6960
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Fax | 603-598-6973
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Provider Business Mailing Address
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Address Line | 460 AMHERST ST
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City | NASHUA
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State | NH
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Zip | 03063-1220
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Country | US
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Telephone | 603-598-6960
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Fax | 603-598-6973
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Authorized Official
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Title or Position | AO
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Name | ADNAN FAKHOURY
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Credential |
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Telephone | 603-598-6960
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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 | 30D0970292
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 02731
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License Number State | NH
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