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General NPI Number Information
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NPI Number | 1982860680
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Entity Type | Organization
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Legal Business Name | HEALTHTRONICS LABORATORY SOLUTIONS LLC
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 10/11/2010
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Provider Practice Location Address
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Address Line | 7909 FREDERICKSBURG RD SUITE 233
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3425
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Country | US
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Telephone | 210-521-7700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 842184
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City | DALLAS
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State | TX
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Zip | 75284-2184
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, CBO
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Name | MRS. THERESA DAVIS
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Credential |
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Telephone | 512-314-4331
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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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