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General NPI Number Information
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NPI Number | 1891574349
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Entity Type | Organization
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Legal Business Name | ADVENTUS LABORATORY SOLUTIONS LLC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 2256 N US HIGHWAY 1
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City | FORT PIERCE
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State | FL
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Zip | 34946-8913
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Country | US
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Telephone | 772-444-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 2256 N US HIGHWAY 1
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City | FORT PIERCE
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State | FL
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Zip | 34946-8913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT TOHER
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Credential |
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Telephone | 772-444-0550
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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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