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General NPI Number Information
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NPI Number | 1134895790
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Entity Type | Individual
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Provider Name | TAMIA KELLY PHLEBOTOMY TECHNICIA
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Gender | Female
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 6220 WESTPARK DR STE 149
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City | HOUSTON
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State | TX
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Zip | 77057-7417
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Country | US
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Telephone | 713-670-8189
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Fax |
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Provider Business Mailing Address
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Address Line | 6220 WESTPARK DR STE 149
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City | HOUSTON
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State | TX
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Zip | 77057-7417
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Country | US
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Telephone | 713-670-8189
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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 | 246R00000X
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Taxonomy Name | Pathology Technician
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License Number | 25-CPT126
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number | 21-56670
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | 25-CPT126
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License Number State | TX
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