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General NPI Number Information
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NPI Number | 1841443439
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Entity Type | Organization
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Legal Business Name | DISCOVERY DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 2626 DENVER ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-5334
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Country | US
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Telephone | 866-848-2522
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Fax |
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Provider Business Mailing Address
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Address Line | 506 SAGE CT
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-3183
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Country | US
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Telephone | 972-998-1548
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN ESTES
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Credential |
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Telephone | 972-998-1548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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