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General NPI Number Information
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NPI Number | 1952570228
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Entity Type | Organization
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Legal Business Name | JDXPATH INC.
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 70 RAHNS RD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-1889
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Country | US
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Telephone | 484-973-6462
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Fax | 484-973-6467
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Provider Business Mailing Address
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Address Line | 70 RAHNS RD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-1889
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Country | US
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Telephone | 484-973-6462
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Fax | 484-973-6467
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUNYI LEI
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Credential | M.D.
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Telephone | 484-991-8846
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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 | MD432443
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License Number State | PA
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