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General NPI Number Information
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NPI Number | 1740721455
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Entity Type | Organization
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Legal Business Name | RELIABLE LAB GROUP,LLC.
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 500 COMMERCE WAY W UNIT 5
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City | JUPITER
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State | FL
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Zip | 33458-8844
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Country | US
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Telephone | 561-200-8723
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Fax |
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Provider Business Mailing Address
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Address Line | 900 OSCEOLA DR STE 223
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5075
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Country | US
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Telephone | 561-200-8723
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | MR. PETER JULIUS
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Credential |
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Telephone | 561-248-7128
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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 | FL
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