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General NPI Number Information
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NPI Number | 1720158157
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Entity Type | Organization
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Legal Business Name | NEW CENTURY DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 290 LEXINGTON DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6933
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Country | US
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Telephone | 847-537-9600
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Fax | 847-537-9622
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Provider Business Mailing Address
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Address Line | 290 LEXINGTON DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6933
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Country | US
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Telephone | 847-537-9600
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Fax | 847-537-9622
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN LIKER
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Credential |
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Telephone | 847-537-9600
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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 | 14D0993872
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License Number State | IL
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