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General NPI Number Information
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NPI Number | 1851748131
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Entity Type | Organization
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Legal Business Name | ROSETTA GENOMICS INC.
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 05/17/2016
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Provider Practice Location Address
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Address Line | 10912 COLONEL GLENN RD SUITE 500
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City | LITTLE ROCK
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State | AR
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Zip | 72204-8010
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Country | US
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Telephone | 501-353-0014
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Fax | 855-373-2943
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Provider Business Mailing Address
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Address Line | 3711 MARKET ST SUITE 740
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5504
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Country | US
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Telephone | 501-353-0014
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Fax | 855-373-2493
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Authorized Official
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Title or Position | QUALITY MANAGER
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Name | ELAINE LUCKEY
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Credential | CLS
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Telephone | 949-587-7514
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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 | CLIA 04D2112060
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License Number State | AR
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