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General NPI Number Information
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NPI Number | 1063344505
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Entity Type | Individual
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Provider Name | MARKITA ANDERSON PHLEBOTOMIST
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1875 OLD ALABAMA RD STE 625
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City | ROSWELL
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State | GA
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Zip | 30076-2264
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Country | US
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Telephone | 404-985-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 CUMBERLAND PKWY SE APT 1228
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City | ATLANTA
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State | GA
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Zip | 30339-5082
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Country | US
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Telephone | 404-985-4300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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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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