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General NPI Number Information
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NPI Number | 1972857357
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Entity Type | Organization
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Legal Business Name | REST ANALYSIS L.P.
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 13252 GARDEN GROVE BLVD SUITE #210-#212
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2204
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Country | US
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Telephone | 661-209-2782
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Fax | 661-285-1050
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Provider Business Mailing Address
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Address Line | 38345 30TH ST E SUITE # B-3
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City | PALMDALE
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State | CA
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Zip | 93550-4980
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Country | US
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Telephone | 661-209-2782
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Fax | 661-285-1050
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Authorized Official
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Title or Position | CEO
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Name | DR. DONNA JEANNE MEEKS
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Credential | DC
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Telephone | 661-209-2782
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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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