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General NPI Number Information
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NPI Number | 1164750634
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Entity Type | Organization
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Legal Business Name | HOUCHIN BLOOD SERVICES
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Dates
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Enumeration Date | 11/21/2009
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 5901 TRUXTUN AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0610
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Country | US
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Telephone | 661-229-6226
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Fax |
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Provider Business Mailing Address
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Address Line | 15030 VENTURA BLVD STE 19-774
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5470
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Country | US
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Telephone | 661-229-6226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL A RANKIN
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Credential |
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Telephone | 661-229-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 05D0914738
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License Number State | CA
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