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General NPI Number Information
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NPI Number | 1801460464
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Entity Type | Organization
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Legal Business Name | TC DIAGNOSTICS LLC
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 562 FM 1810
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City | DECATUR
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State | TX
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Zip | 76234-5761
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Country | US
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Telephone | 940-536-3189
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Fax |
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Provider Business Mailing Address
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Address Line | 562 FM 1810
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City | DECATUR
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State | TX
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Zip | 76234-5761
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Country | US
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Telephone | 940-536-3189
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOHN MILLER
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Credential |
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Telephone | 940-536-3189
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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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