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General NPI Number Information
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NPI Number | 1720771306
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Entity Type | Organization
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Legal Business Name | CARE BIO CLINICAL CORP
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 150 NEW SCOTLAND AVE, CMS BLDG STE 1105
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City | ALBANY
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State | NY
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Zip | 12208-3423
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Country | US
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Telephone | 518-293-0204
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Fax |
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Provider Business Mailing Address
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Address Line | 140 58 STREET BLDG A UNIT 3L
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City | BROOKLYN
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State | NY
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Zip | 11220
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Country | US
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Telephone | 718-534-5227
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | WOLF HOFFMAN
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Credential |
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Telephone | 718-534-5227
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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 |
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