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General NPI Number Information
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NPI Number | 1861725327
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Entity Type | Organization
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Legal Business Name | HEALTHPOINT DIAGNOSTIX INC
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 25 TRI STATE INTL SUITE 150
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-4452
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Country | US
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Telephone | 847-914-0203
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Fax | 847-914-0209
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Provider Business Mailing Address
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Address Line | PO BOX 7389
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City | PROSPECT HEIGHTS
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State | IL
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Zip | 60070-7389
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Country | US
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Telephone | 847-914-0203
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Fax | 847-914-0209
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | WILLIAM R KITCHEL
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Credential |
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Telephone | 847-914-0203
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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 | 14D1084603
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License Number State | IL
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