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General NPI Number Information
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NPI Number | 1790386746
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Entity Type | Organization
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Legal Business Name | MVML, INC.
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1594 N MAIN ST
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City | ORANGE
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State | CA
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Zip | 92867-3443
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Country | US
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Telephone | 714-974-2020
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Fax | 714-279-2020
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Provider Business Mailing Address
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Address Line | 300 SPECTRUM CENTER DRIVE SUITE 200
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City | IRVINE
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State | CA
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Zip | 92618-4987
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Country | US
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Telephone | 951-658-1400
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF COMPLIANCE
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Name | KRISTINE AZARRAGA
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Credential |
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Telephone | 562-215-2811
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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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