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General NPI Number Information
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NPI Number | 1821836347
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Entity Type | Organization
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Legal Business Name | ADVANCED ARTISTS ONCOSURE TESTING LLC
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Dates
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Enumeration Date | 07/18/2024
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1100 PARK CENTRAL BLVD S STE 1700
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City | POMPANO BEACH
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State | FL
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Zip | 33064-2211
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Country | US
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Telephone | 888-925-4816
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Fax | 954-301-0191
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Provider Business Mailing Address
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Address Line | 1100 PARK CENTRAL BLVD S STE 1700
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City | POMPANO BEACH
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State | FL
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Zip | 33064-2211
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Country | US
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Telephone | 888-925-4816
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Fax | 954-301-0191
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Authorized Official
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Title or Position | MANAGER
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Name | KAELA VITULANO
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Credential |
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Telephone | 754-310-5084
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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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