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General NPI Number Information
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NPI Number | 1992116941
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Entity Type | Organization
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Legal Business Name | BIOGEN LABORATORY CORPORATION
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 20 VAN BLARCOM LN
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City | WYCKOFF
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State | NJ
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Zip | 07481-3444
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Country | US
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Telephone | 973-953-5337
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Fax |
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Provider Business Mailing Address
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Address Line | 265 E 16TH ST
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City | PATERSON
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State | NJ
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Zip | 07524
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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 | CEO
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Name | AHMED KAMEL
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Credential |
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Telephone | 973-953-5337
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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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