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General NPI Number Information
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NPI Number | 1891279931
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Entity Type | Organization
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Legal Business Name | CAP DIAGNOSTICS LLC
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 31205 WOODWARD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-0928
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Country | US
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Telephone | 712-966-1221
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Fax | 949-336-5215
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Provider Business Mailing Address
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Address Line | 17661 COWAN
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City | IRVINE
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State | CA
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Zip | 92614-6031
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Country | US
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Telephone | 714-966-1221
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Fax |
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Authorized Official
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Title or Position | VP COMPLIANCE
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Name | PAMELA DELBRIDGE
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Credential | CHC, CHPC
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Telephone | 714-966-1221
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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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