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NPI 1881409605

NPI 1881409605 : NOVION LABORATORIES INC : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1881409605
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOVION LABORATORIES INC 
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Dates
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    Enumeration Date     |    02/10/2025
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    Last Update Date     |    02/10/2025
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Provider Practice Location Address
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    Address Line         |    8430 JUNIPER CREEK LN 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92126-1074
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    Country              |    US
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    Telephone            |    951-757-2497
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8430 JUNIPER CREEK LN 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92126-1074
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    Country              |    US
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    Telephone            |    951-757-2497
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ROBERT  LAJVARDI 
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    Credential           |    MD
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    Telephone            |    619-847-5096
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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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