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General NPI Number Information
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NPI Number | 1881034064
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Entity Type | Organization
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Legal Business Name | GENE BY GENE LTD
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 1445 NORTH LOOP W SUITE 820
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City | HOUSTON
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State | TX
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Zip | 77008-1661
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Country | US
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Telephone | 713-868-1438
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 NORTH LOOP W SUITE 820
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City | HOUSTON
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State | TX
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Zip | 77008-1661
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Country | US
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Telephone | 713-868-1438
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KELLY JENKINS
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Credential |
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Telephone | 832-761-9655
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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 | TX
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