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General NPI Number Information
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NPI Number | 1033074299
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Entity Type | Organization
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Legal Business Name | PRECISION STICKS MOBILE PHLEBOTOMY SERVICES
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 3576 COVINGTON HWY STE 103
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City | DECATUR
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State | GA
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Zip | 30032-1834
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Country | US
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Telephone | 470-518-6287
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Fax | 470-275-0684
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Provider Business Mailing Address
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Address Line | 3576 COVINGTON HWY STE 103
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City | DECATUR
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State | GA
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Zip | 30032-1834
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Country | US
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Telephone | 470-518-6287
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Fax | 470-275-0684
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KENDRA CRUICKSHANK
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Credential |
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Telephone | 470-974-0743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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Taxonomy #2
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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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