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General NPI Number Information
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NPI Number | 1952546343
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Entity Type | Organization
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Legal Business Name | LAB FIRST INC
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 215 W JEFFERSON ST STE 3
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City | QUINCY
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State | FL
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Zip | 32351-2361
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Country | US
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Telephone | 850-627-2521
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Fax | 850-627-1992
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Provider Business Mailing Address
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Address Line | 215 W JEFFERSON ST STE 3
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City | QUINCY
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State | FL
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Zip | 32351-2361
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Country | US
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Telephone | 850-627-2521
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Fax | 850-627-1992
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARYANNE MATHEWS
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Credential |
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Telephone | 850-627-2521
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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 | 800024432
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License Number State | FL
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