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General NPI Number Information
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NPI Number | 1750036216
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Entity Type | Organization
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Legal Business Name | TEST FOR VIRUS INC
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 7660 PLAZA CT
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5607
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Country | US
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Telephone | 708-476-6576
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Fax |
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Provider Business Mailing Address
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Address Line | 7660 PLAZA CT
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5607
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Country | US
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Telephone | 708-476-6576
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAWN ANN KILLEEN
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Credential |
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Telephone | 708-476-6576
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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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