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General NPI Number Information
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NPI Number | 1912522723
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Entity Type | Organization
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Legal Business Name | CELLUM BIOMEDICAL INC.
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 44045 MARGARITA RD STE 102
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City | TEMECULA
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State | CA
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Zip | 92592-2729
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Country | US
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Telephone | 949-375-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 44045 MARGARITA RD STE 102
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City | TEMECULA
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State | CA
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Zip | 92592-2729
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Country | US
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Telephone | 949-375-7775
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Fax |
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Authorized Official
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Title or Position | QA DIRECTOR
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Name | ELAINE LUCKEY
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Credential |
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Telephone | 949-375-7775
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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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