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General NPI Number Information
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NPI Number | 1750539466
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Entity Type | Organization
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Legal Business Name | BIOIQ INC.
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 1222 STATE ST #200
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2633
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Country | US
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Telephone | 805-504-8586
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Fax | 805-456-0511
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Provider Business Mailing Address
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Address Line | 1222 STATE ST #200
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2633
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Country | US
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Telephone | 805-504-8586
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Fax | 805-456-0511
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/CEO
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Name | MR. JUSTIN BELLANTE
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Credential |
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Telephone | 805-804-8586
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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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