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General NPI Number Information
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NPI Number | 1760085443
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Entity Type | Organization
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Legal Business Name | MERIDIAN DIAGNOSTICS LLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 75 Printers Pkwy #100
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City | Colorado Springs
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State | CO
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Zip | 80910
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Country | US
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Telephone | 3058466398
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Fax |
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Provider Business Mailing Address
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Address Line | 75 Printers Pkwy #100
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City | Colorado Springs
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State | CO
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Zip | 80910
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Country | US
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Telephone | 3058466398
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | NICOLE DENNIS
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Credential |
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Telephone | 303-993-5651
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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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