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General NPI Number Information
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NPI Number | 1083095145
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Entity Type | Organization
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Legal Business Name | VIRTOUS EXPRESS
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 4361 W 137TH ST SUITE #5
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City | HAWTHORNE
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State | CA
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Zip | 90250-1003
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Country | US
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Telephone | 310-400-2163
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Fax |
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Provider Business Mailing Address
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Address Line | 4361 W 137TH ST SUITE #5
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City | HAWTHORNE
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State | CA
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Zip | 90250-1003
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Country | US
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Telephone | 310-400-2163
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Fax |
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Authorized Official
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Title or Position | PHLEBOTOMY
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Name | CINDY DUNN
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Credential |
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Telephone | 310-400-2163
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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 | CA
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