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General NPI Number Information
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NPI Number | 1891359642
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Entity Type | Organization
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Legal Business Name | EUCYT LABORATORIES, L.L.C.
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 5670 WYNN RD STE D
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City | LAS VEGAS
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State | NV
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Zip | 89118-2355
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Country | US
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Telephone | 702-776-4114
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Fax | 702-909-3757
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Provider Business Mailing Address
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Address Line | 5670 WYNN RD
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City | LAS VEGAS
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State | NV
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Zip | 89118-2356
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Country | US
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Telephone | 702-219-1531
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRAVIS BIRD
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Credential |
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Telephone | 702-219-1531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 331L00000X
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Taxonomy Name | Blood Bank
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License Number |
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License Number State |
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