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The Test Warehouse

NPI Registration Record

Provider / OrganizationNPIDate Certified
THE TEST WAREHOUSE18913833942021-01-09
Entity TypeOrganization
Provider OrganizationTHE TEST WAREHOUSE
Practice Office Address102 S 6TH ST
FAIRFIELD, IA US
Practice Office Telephone6419198347
Mailing Address54 1/2 N MAIN ST
FAIRFIELD, IA 525563205 US
Business Telephone6419198347
Authorized OfficialJONATHAN M COHEN, CEO
6419198347
Contact Endpoints
Every one associated to TTW [Any file type]www.thetestwarehouse.comHealth Information Exchange (HIE)
HPT Codes
CodeLicense NoState
251E00000X PRIMARY
OPI Codes
IDK OTHER IA BILLLING FOR TE
Governmental Registrations [CAGE/NCAGE/DUNS]

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