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General NPI Number Information
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NPI Number | 1780571893
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Entity Type | Organization
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Legal Business Name | NEXTWAVE SCREENING SOLUTIONS LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 750 DOWNTOWNER LOOP W STE H148
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City | MOBILE
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State | AL
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Zip | 36609-5528
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Country | US
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Telephone | 251-697-9069
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Fax | 251-697-9069
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Provider Business Mailing Address
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Address Line | 45183 CHALET DR
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City | BAY MINETTE
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State | AL
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Zip | 36507-8703
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Country | US
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Telephone | 251-307-4216
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Fax | 251-697-9069
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Authorized Official
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Title or Position | CEO
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Name | JENITA L HILL
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Credential |
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Telephone | 251-307-4216
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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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