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General NPI Number Information
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NPI Number | 1114719630
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Entity Type | Organization
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Legal Business Name | VDS MOBILE PHLEBOTOMY LAB
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 274 LOMBARD AVE
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City | GREENVILLE
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State | NC
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Zip | 27834-4839
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Country | US
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Telephone | 210-322-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 274 LOMBARD AVE
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City | GREENVILLE
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State | NC
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Zip | 27834-4839
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Country | US
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Telephone | 210-322-7100
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Fax |
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Authorized Official
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Title or Position | MOBILE PHLEBOTOMIST
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Name | APRIL NELSON
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Credential |
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Telephone | 210-322-7100
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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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