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General NPI Number Information
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NPI Number | 1902865868
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Entity Type | Organization
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Legal Business Name | MONOGRAM BIOSCIENCES, INC
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 345 OYSTER POINT BLVD
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-1913
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Country | US
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Telephone | 650-635-1100
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Fax | 888-369-0023
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Provider Business Mailing Address
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Address Line | 345 OYSTER POINT BLVD
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-1913
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Country | US
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Telephone | 650-635-1100
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Fax | 888-369-0023
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Authorized Official
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Title or Position | VP
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Name | KIMBERLY WILLIAMS
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Credential |
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Telephone | 800-222-7566
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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 | CLF11444
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License Number State | CA
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