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General NPI Number Information
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NPI Number | 1730406240
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Entity Type | Organization
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Legal Business Name | MICROBIOLOGY SPECIALISTS INC.
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 8911 INTERCHANGE DR
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City | HOUSTON
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State | TX
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Zip | 77054-2507
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Country | US
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Telephone | 713-663-6888
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Fax | 713-663-7722
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Provider Business Mailing Address
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Address Line | 8911 INTERCHANGE DR
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City | HOUSTON
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State | TX
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Zip | 77054-2507
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Country | US
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Telephone | 713-663-6888
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Fax | 713-663-7722
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. ALICE S. WEISSFELD
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Credential | PHD
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Telephone | 713-663-6888
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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 | 45D0660152
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License Number State | TX
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