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General NPI Number Information
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NPI Number | 1912516352
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Entity Type | Organization
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Legal Business Name | CLINICAL ENTERPRISE INC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 175 CROSSING BLVD STE 400
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City | FRAMINGHAM
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State | MA
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Zip | 01702-4472
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Country | US
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Telephone | 833-644-0860
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Fax | 866-468-0756
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Provider Business Mailing Address
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Address Line | 175 CROSSING BLVD STE 400
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City | FRAMINGHAM
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State | MA
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Zip | 01702-4472
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Country | US
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Telephone | 833-644-0860
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Fax | 866-468-0756
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Authorized Official
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Title or Position | DIRECTOR
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Name | MATTHEW URBANEK
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Credential |
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Telephone | 816-799-1610
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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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