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General NPI Number Information
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NPI Number | 1831494178
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Entity Type | Organization
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Legal Business Name | REDWOOD LABORATORY MANAGEMENT
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 1558 B ST
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City | HAYWARD
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State | CA
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Zip | 94541-3052
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Country | US
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Telephone | 510-856-4390
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Fax | 800-681-2650
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Provider Business Mailing Address
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Address Line | 22568 MISSION BLVD # 414
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City | HAYWARD
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State | CA
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Zip | 94541-5116
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | V.P. OF ACCOUNT SERVICE
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Name | REBECCA GLOVER
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Credential |
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Telephone | 510-931-6912
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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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