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General NPI Number Information
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NPI Number | 1043884414
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Entity Type | Organization
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Legal Business Name | MILE HIGH PHLEBOTOMY
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 47321 LILY AVE
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City | BENNETT
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State | CO
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Zip | 80102-8627
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Country | US
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Telephone | 303-644-5784
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Fax | 720-807-2164
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Provider Business Mailing Address
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Address Line | 47321 LILY AVE
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City | BENNETT
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State | CO
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Zip | 80102-8627
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Country | US
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Telephone | 303-644-5784
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LOUISE LEVERETTE
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Credential | PHLEBOTOMIST
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Telephone | 303-644-5784
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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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