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General NPI Number Information
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NPI Number | 1033021415
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 2928 LICHEN LN UNIT D
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City | CLEARWATER
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State | FL
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Zip | 33760-1536
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Country | US
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Telephone | 813-725-5375
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Fax | 813-725-4452
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Provider Business Mailing Address
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Address Line | 13700 LITTLE RD # 1020
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City | HUDSON
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State | FL
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Zip | 34667-8024
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Country | US
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Telephone | 813-725-5375
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Fax | 813-725-4452
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Authorized Official
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Title or Position | MEMBER
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Name | LISA MARTINEZ-FARGAS
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Credential | CPT (ASPT)
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Telephone | 813-725-5375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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