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General NPI Number Information
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NPI Number | 1962044164
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Entity Type | Organization
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Legal Business Name | SOLID DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 281 CAMBRIDGE ST
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City | BURLINGTON
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State | MA
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Zip | 01803-2543
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Country | US
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Telephone | 781-365-1856
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Fax | 781-365-1860
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Provider Business Mailing Address
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Address Line | 281 CAMBRIDGE ST
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City | BURLINGTON
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State | MA
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Zip | 01803-2543
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Country | US
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Telephone | 781-365-1856
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Fax | 781-365-1860
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITA AUSIEJUS
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Credential |
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Telephone | 617-659-0533
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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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