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General NPI Number Information
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NPI Number | 1770340754
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Entity Type | Organization
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Legal Business Name | OBAS LAB DIAGNOSTICS
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 2820 NE 214TH ST STE 809
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City | AVENTURA
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State | FL
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Zip | 33180-1270
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Country | US
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Telephone | 754-600-1396
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Fax | 754-778-6023
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Provider Business Mailing Address
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Address Line | 2820 NE 214TH ST STE 809
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City | AVENTURA
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State | FL
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Zip | 33180-1270
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Country | US
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Telephone | 754-600-1396
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Fax | 754-778-6023
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. ROSE-ESTELLE TANIA CELESTIN-OBAS
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Credential | ARNP
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Telephone | 786-395-5481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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