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General NPI Number Information
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NPI Number | 1750178703
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Entity Type | Organization
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Legal Business Name | M2 DIAGNOSTICS
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 485 SPEEDWELL AVE UNIT 66
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-7003
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Country | US
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Telephone | 718-644-2661
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Fax |
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Provider Business Mailing Address
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Address Line | 485 SPEEDWELL AVE UNIT 66
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-7003
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Country | US
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Telephone | 718-644-2661
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK A MERLIN
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Credential | DO
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Telephone | 718-644-2661
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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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