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General NPI Number Information
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NPI Number | 1932997681
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Entity Type | Organization
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Legal Business Name | 1 CORP DIAGNOSTICS
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2806 RANDLEMAN RD STE D
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City | GREENSBORO
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State | NC
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Zip | 27406-5266
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Country | US
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Telephone | 336-500-8026
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Fax | 336-900-0159
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Provider Business Mailing Address
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Address Line | 2806 RANDLEMAN RD STE D
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City | GREENSBORO
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State | NC
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Zip | 27406-5266
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Country | US
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Telephone | 336-500-8026
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Fax | 336-900-0159
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TIMOTHY HOLLIDAY
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Credential |
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Telephone | 336-500-8026
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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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