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General NPI Number Information
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NPI Number | 1962724880
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Entity Type | Organization
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Legal Business Name | AMERICAN INTERNATIONAL BIOTECHNOLOGY AIBIOTECH
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 11/06/2015
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Provider Practice Location Address
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Address Line | 601 BIOTECH DR
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City | RICHMOND
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State | VA
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Zip | 23235-5167
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Country | US
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Telephone | 804-648-3820
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Fax | 804-648-2641
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Provider Business Mailing Address
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Address Line | 601 BIOTECH DR
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City | RICHMOND
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State | VA
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Zip | 23235-5167
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Country | US
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Telephone | 804-648-3820
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Fax | 804-648-2641
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID G BOSTWICK
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Credential | MD
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Telephone | 804-648-3820
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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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