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General NPI Number Information
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NPI Number | 1922635739
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Entity Type | Organization
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Legal Business Name | CONTAMINATION SOURCE IDENTIFICATION, INC.
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 419 14TH ST
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City | HUNTINGDON
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State | PA
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Zip | 16652-1937
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Country | US
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Telephone | 717-574-7083
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Fax |
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Provider Business Mailing Address
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Address Line | 326 DOGWOOD DR
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City | HERSHEY
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State | PA
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Zip | 17033-2675
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Country | US
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Telephone | 717-433-1515
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Fax |
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Authorized Official
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Title or Position | EXEC. VP OF RESEARCH & DEVELOPMENT
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Name | REGINA LAMENDELLA
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Credential | PHD
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Telephone | 513-324-5252
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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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