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General NPI Number Information
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NPI Number | 1801386552
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Entity Type | Organization
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Legal Business Name | ACCURATE AND TRANSPARENT LABORATORIES
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 1860 MONTREAL RD
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City | TUCKER
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State | GA
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Zip | 30084-5709
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Country | US
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Telephone | 404-626-2207
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Fax | 229-333-1999
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Provider Business Mailing Address
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Address Line | 3312 N OAK STREET EXT BLDG B3
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City | VALDOSTA
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State | GA
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Zip | 31605-1066
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Country | US
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Telephone | 229-242-4600
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Fax | 229-333-1999
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Authorized Official
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Title or Position | CEO
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Name | MR. IAN R MCTURK
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Credential |
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Telephone | 229-242-4600
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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 | 092-019
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License Number State | GA
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