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General NPI Number Information
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NPI Number | 1861138802
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Entity Type | Organization
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Legal Business Name | ACCURATE CLINICAL LABORATORY CORP.
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 18800 AMAR RD STE C11
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City | WALNUT
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State | CA
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Zip | 91789-4561
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Country | US
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Telephone | 626-667-7848
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Fax | 626-608-0318
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Provider Business Mailing Address
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Address Line | 18800 AMAR RD STE C11
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City | WALNUT
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State | CA
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Zip | 91789-4561
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Country | US
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Telephone | 626-667-7848
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Fax | 626-608-0318
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLAN C CHANG
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Credential | DAOM, DOM, LAC
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Telephone | 626-667-7848
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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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