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General NPI Number Information
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NPI Number | 1942963095
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Entity Type | Organization
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Legal Business Name | TEST ANYWHERE LLC
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 4444 DELP ST
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City | MEMPHIS
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State | TN
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Zip | 38118-7327
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Country | US
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Telephone | 901-647-0107
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Fax |
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Provider Business Mailing Address
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Address Line | 5817 NEWBERRY LN S
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City | MEMPHIS
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State | TN
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Zip | 38115-3818
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHUNDRA BERNARD
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Credential |
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Telephone | 901-647-0107
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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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