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General NPI Number Information
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NPI Number | 1801324611
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Entity Type | Organization
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Legal Business Name | PRIMBIO RESEARCH INSTITUTE LLC
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 3070 MCCANN FARM DR STE 112
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City | GARNET VALLEY
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State | PA
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Zip | 19060-2131
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Country | US
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Telephone | 610-458-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 4 DUDIE DR
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DIANA ZI YE
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Credential |
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Telephone | 610-458-1112
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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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