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General NPI Number Information
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NPI Number | 1821091067
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Entity Type | Organization
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Legal Business Name | ABACUS BUSINESS CORPORATION GROUP INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 2730 N MAIN ST
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City | LOS ANGELES
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State | CA
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Zip | 90031-3321
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Country | US
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Telephone | 323-222-6688
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Fax | 323-222-3388
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Provider Business Mailing Address
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Address Line | 2730 N MAIN ST
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City | LOS ANGELES
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State | CA
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Zip | 90031-3321
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Country | US
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Telephone | 323-222-6688
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Fax | 323-222-3388
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID SOMALI
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Credential |
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Telephone | 323-222-6688
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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 | 104749-60
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License Number State | CA
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