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General NPI Number Information
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NPI Number | 1972965614
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Entity Type | Organization
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Legal Business Name | ACCOUNTABILITY SYSTEMS, INC.
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 401 W HAMPDEN PL SUITE 20
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2470
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Country | US
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Telephone | 818-651-4594
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Fax |
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Provider Business Mailing Address
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Address Line | 22287 MULHOLLAND HWY # 136
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City | CALABASAS
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State | CA
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Zip | 91302-5157
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Country | US
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Telephone | 818-651-4594
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIRSTEN WALLACE
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Credential |
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Telephone | 818-651-4594
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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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