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General NPI Number Information
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NPI Number | 1952156622
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Entity Type | Organization
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Legal Business Name | GENEWELL LABS LLC
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 13601 PRESTON RD STE 360E
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City | DALLAS
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State | TX
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Zip | 75240-4903
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Country | US
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Telephone | 214-964-0100
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Fax | 844-941-1992
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Provider Business Mailing Address
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Address Line | PO BOX 920588
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30010-0588
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Country | US
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Telephone | 214-662-9353
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Fax | 844-941-1992
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Authorized Official
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Title or Position | CEO
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Name | MR. TARIQ HAFEEZ
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Credential |
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Telephone | 404-617-8550
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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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