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General NPI Number Information
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NPI Number | 1740169564
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Entity Type | Organization
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Legal Business Name | GYPSY TESTING, LLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1680 S E ST # B-5
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-2719
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Country | US
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Telephone | 602-706-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 E COOLEY DR STE 211
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City | COLTON
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State | CA
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Zip | 92324-3939
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Country | US
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Telephone | 602-706-5606
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LAURA NEFERTARI
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Credential |
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Telephone | 602-706-5606
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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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