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General NPI Number Information
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NPI Number | 1841999778
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Entity Type | Organization
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Legal Business Name | PANDORA S9 INC
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 10234 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4710
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Country | US
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Telephone | 513-440-7396
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Fax |
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Provider Business Mailing Address
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Address Line | 10234 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4710
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Country | US
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Telephone | 513-440-7396
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Fax |
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | DR. STEPHEN JAMES JORDAN
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Credential | MD, PHD
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Telephone | 317-274-8110
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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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