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["附件3"]
["青岛市技术创新中心建设申报单位基本信息表"]
["区（市）科技主管部门（盖章）："]
["序号","中心名称","建设方向","技术领域","牵头建设单位","单位通讯地址","统一社会信用代码","单位性质","所属区市","中心负责人姓名","证件号码","最高学历","职称","联系电话","联系人姓名","联系电话","产学研合作单位","共建单位"]
[1]
[2]
[3]
["…"]
["…"]
["…"]