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General NPI Number Information
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NPI Number | 1780224659
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Entity Type | Organization
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Legal Business Name | DXTERITY DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 19500 S RANCHO WAY STE 116
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City | COMPTON
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State | CA
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Zip | 90220-6017
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Country | US
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Telephone | 310-537-7857
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Fax | 310-356-3154
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Provider Business Mailing Address
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Address Line | 19500 S RANCHO WAY STE 116
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City | COMPTON
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State | CA
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Zip | 90220-6017
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Country | US
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Telephone | 310-537-7857
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Fax | 310-356-3154
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Authorized Official
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Title or Position | CONTRACTS COMPLIANCE MANAGER
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Name | BEVERLY DAMARIS BARNETT
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Credential |
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Telephone | 424-205-7084
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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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