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General NPI Number Information
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NPI Number | 1841423134
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Entity Type | Organization
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Legal Business Name | VA MEDICAL CENTER RESEARCH LAB
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 17682 GEORGE MORAN DR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55347-1085
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Country | US
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Telephone | 612-801-2075
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Fax |
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Provider Business Mailing Address
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Address Line | 17682 GEORGE MORAN DR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55347-1085
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Country | US
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Telephone | 612-801-2075
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Fax |
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Authorized Official
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Title or Position | LAB RESEARC
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Name | AKHOURI SINHA
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Credential |
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Telephone | 888-888-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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