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General NPI Number Information
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NPI Number | 1740179282
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Entity Type | Organization
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Legal Business Name | INFINITE GENOMICS
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 4850 NORTHSHORE LN
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-5329
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Country | US
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Telephone | 501-798-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 NORTHSHORE LN
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-5329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | HILDA DUPWE
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Credential |
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Telephone | 501-798-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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