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General NPI Number Information
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NPI Number | 1053896928
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Entity Type | Organization
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Legal Business Name | HEALING PRO LAB LLC
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 1925 E RAND RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4366
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Country | US
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Telephone | 224-735-3522
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Fax | 224-735-3523
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Provider Business Mailing Address
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Address Line | 1925 E RAND RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4366
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Country | US
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Telephone | 224-735-3522
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Fax | 224-735-3523
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RANA SAIFAN
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Credential | PHLEBOTOMIST
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Telephone | 312-945-9402
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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