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General NPI Number Information
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NPI Number | 1740871490
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Entity Type | Organization
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Legal Business Name | VAXI
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 2651 E CHAPMAN AVE STE 111
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City | FULLERTON
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State | CA
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Zip | 92831-3738
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Country | US
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Telephone | 949-208-7689
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 E CHAPMAN AVE STE 111
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City | FULLERTON
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State | CA
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Zip | 92831-3738
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Country | US
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Telephone | 949-208-7689
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LENG CHAO
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Credential |
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Telephone | 949-228-5898
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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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