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General NPI Number Information
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NPI Number | 1760145510
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Entity Type | Organization
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Legal Business Name | KALIGIA BIOSCIENCES LLC
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 7441 114TH AVE STE 607A
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City | LARGO
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State | FL
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Zip | 33773-5124
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Country | US
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Telephone | 727-234-8871
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Fax |
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Provider Business Mailing Address
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Address Line | 7441 114TH AVE STE 607A
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City | LARGO
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State | FL
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Zip | 33773-5124
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Country | US
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Telephone | 727-234-8871
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Fax | 727-544-0020
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. FAZAL ABBAS FAZLIN
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Credential |
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Telephone | 727-234-8877
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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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