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General NPI Number Information
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NPI Number | 1922750223
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Entity Type | Organization
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Legal Business Name | ALLN1 LAB SERVICES
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 13603 WOODSTONE WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78233-5330
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Country | US
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Telephone | 210-974-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 13423 BLANCO RD # 404
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2187
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Country | US
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Telephone | 210-974-4860
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TEVIS RANDALL
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Credential |
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Telephone | 210-974-4860
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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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