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General NPI Number Information
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NPI Number | 1801337548
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Entity Type | Organization
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Legal Business Name | ANTIGEN SOLUTIONS LLC
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 1025 DIVISION ST SUITE D
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City | BILOXI
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State | MS
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Zip | 39530-2906
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Country | US
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Telephone | 910-789-0554
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 DIVISION ST SUITE D
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City | BILOXI
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State | MS
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Zip | 39530-2906
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Country | US
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Telephone | 910-789-0554
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JOE TURNER
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Credential |
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Telephone | 910-789-0554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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