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General NPI Number Information
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NPI Number | 1891689287
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Entity Type | Organization
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Legal Business Name | BIOTAB LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 5909 SHELBY OAKS DR STE 121
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City | MEMPHIS
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State | TN
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Zip | 38134-7318
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Country | US
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Telephone | 901-441-5693
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Fax |
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Provider Business Mailing Address
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Address Line | 11701 BORMAN DR STE 107
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City | SAINT LOUIS
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State | MO
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Zip | 63146-4264
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Country | US
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Telephone | 877-246-8220
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | EVAN HALL
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Credential |
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Telephone | 314-812-3949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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