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General NPI Number Information
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NPI Number | 1851986319
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Entity Type | Organization
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Legal Business Name | STAT-PRO HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 03/06/2021
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Last Update Date | 03/06/2021
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Provider Practice Location Address
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Address Line | 93 BROAD ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3236
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Country | US
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Telephone | 860-478-0244
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Fax |
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Provider Business Mailing Address
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Address Line | 88 MEECH RD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-2515
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Country | US
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Telephone | 860-478-0244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. PEARLETTA EMONE LAMEY
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Credential | LPN
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Telephone | 860-478-0244
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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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