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General NPI Number Information
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NPI Number | 1780056739
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Entity Type | Organization
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Legal Business Name | STX MOLECULAR LABORATORIES
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 12280 WESTHEIMER RD SUITE 12A
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City | HOUSTON
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State | TX
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Zip | 77077-6053
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Country | US
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Telephone | 972-564-8811
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Fax | 972-564-8810
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Provider Business Mailing Address
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Address Line | 12280 WESTHEIMER RD SUITE 12A
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City | HOUSTON
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State | TX
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Zip | 77077-6053
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Country | US
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Telephone | 972-564-8811
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Fax | 972-564-8810
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Authorized Official
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Title or Position | DIRECTOR OF LABORATORIES OPERATIONS
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Name | CHENOA HARDWICK
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Credential |
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Telephone | 972-351-0774
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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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