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General NPI Number Information
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NPI Number | 1063223675
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Entity Type | Organization
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Legal Business Name | PHLEBOTOMY PARTNERS OF WEST MICHIGAN
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 6670 KALAMAZOO AVE SE STE D, UNIT 1110
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City | KENTWOOD
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State | MI
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Zip | 49508
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Country | US
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Telephone | 616-800-7938
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Fax |
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Provider Business Mailing Address
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Address Line | 6670 KALAMAZOO AVE SE STE D, UNIT 1110
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City | KENTWOOD
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State | MI
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Zip | 49508
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Country | US
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Telephone | 616-800-7938
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | MS. STACY Z STRONG
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Credential | BSC (HONS)
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Telephone | 616-634-1292
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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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