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General NPI Number Information
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NPI Number | 1922752088
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Entity Type | Organization
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Legal Business Name | GATHER LABS LLC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 218 S ROBERTSON BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2811
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Country | US
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Telephone | 424-279-9665
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Fax |
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Provider Business Mailing Address
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Address Line | 218 S ROBERTSON BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2811
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Country | US
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Telephone | 424-279-9665
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RACHAEL MCCRARY
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Credential |
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Telephone | 646-621-6780
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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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