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General NPI Number Information
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NPI Number | 1851016935
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Entity Type | Organization
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Legal Business Name | TAUSTIN LABORATORIES
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 13413 GALLERIA CIR # Q-140
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City | BEE CAVE
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State | TX
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Zip | 78738-6344
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Country | US
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Telephone | 855-319-4459
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Fax | 877-796-6185
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Provider Business Mailing Address
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Address Line | PO BOX 200930
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City | DALLAS
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State | TX
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Zip | 75320-0930
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Country | US
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Telephone | 855-319-4459
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Fax | 877-796-6185
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Authorized Official
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Title or Position | CEO
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Name | SHAWN HOOD
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Credential |
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Telephone | 205-332-3160
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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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