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General NPI Number Information
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NPI Number | 1972417525
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Entity Type | Organization
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Legal Business Name | SEA HARBOR LABORATORIES
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 4828 CALVERT ST
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City | DALLAS
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State | TX
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Zip | 75247-6602
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Country | US
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Telephone | 945-253-4227
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Fax | 214-630-5864
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Provider Business Mailing Address
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Address Line | 4828 CALVERT ST
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City | DALLAS
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State | TX
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Zip | 75247-6602
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Country | US
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Telephone | 945-253-4227
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Fax | 214-630-5864
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Authorized Official
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Title or Position | QUALITY DIRECTOR
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Name | MELISSA A MASSEY-CORMIER
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Credential | PHD
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Telephone | 945-253-4227
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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 | NULL
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