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General NPI Number Information
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NPI Number | 1730238379
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Entity Type | Organization
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Legal Business Name | ABBOTT CLINICAL RESEARCH GROUP INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 98 BRIGGS ST SUITE 980
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1286
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Country | US
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Telephone | 210-924-9435
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Fax | 210-924-9693
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Provider Business Mailing Address
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Address Line | 98 BRIGGS ST SUITE 980
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1286
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Country | US
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Telephone | 210-924-9435
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Fax | 210-924-9693
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LUCIA PROCTOR
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Credential |
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Telephone | 210-924-9435
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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 | D4124
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License Number State | TX
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