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General NPI Number Information
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NPI Number | 1104707884
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Entity Type | Organization
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Legal Business Name | PATERNITY GENETICS DNA MOBILE SERVICE
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 11813 KENSINGTON AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5200
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Country | US
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Telephone | 440-688-1692
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Fax |
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Provider Business Mailing Address
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Address Line | 11813 KENSINGTON AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5200
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Country | US
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Telephone | 440-688-1692
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Fax |
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Authorized Official
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Title or Position | PHLEBOTOMIST
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Name | MISS ADRIA E CALDWELL
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Credential | PHLEBOTOMY CERTIFIED
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Telephone | 440-688-1692
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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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