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General NPI Number Information
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NPI Number | 1922941574
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Entity Type | Organization
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Legal Business Name | AXENT DIAGNOSTICS LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 65 PIER DR APT 101
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City | WESTMONT
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State | IL
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Zip | 60559-3233
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Country | US
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Telephone | 214-487-0282
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Fax |
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Provider Business Mailing Address
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Address Line | 65 PIER DR APT 101
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City | WESTMONT
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State | IL
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Zip | 60559-3233
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Country | US
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Telephone | 214-487-0282
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. DANISH KHAN
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Credential |
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Telephone | 214-487-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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