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General NPI Number Information
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NPI Number | 1770984239
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Entity Type | Organization
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Legal Business Name | ABIRA MEDICAL LABORATORIES
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 900 TOWN CENTER DR SUITE H-50
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City | LANGHORNE
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State | PA
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Zip | 19047-3244
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Country | US
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Telephone | 267-212-2000
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Fax | 267-212-2005
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Provider Business Mailing Address
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Address Line | 900 TOWN CENTER DR SUITE H-50
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City | LANGHORNE
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State | PA
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Zip | 19047-3244
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Country | US
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Telephone | 267-212-2000
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Fax | 267-212-2005
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Authorized Official
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Title or Position | OWNER
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Name | MR. ELLIOTT H VERNON
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Credential |
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Telephone | 267-212-2000
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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 | PA
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