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General NPI Number Information
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NPI Number | 1174232078
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Entity Type | Organization
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Legal Business Name | RELIANCE PHLEBOTOMY SERVICES
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 4424 6TH AVE STE 1-F
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City | TACOMA
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State | WA
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Zip | 98406-3506
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Country | US
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Telephone | 253-338-7599
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Fax |
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Provider Business Mailing Address
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Address Line | 6922 22ND ST W STE D
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-7600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERA FORD
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Credential |
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Telephone | 253-227-7870
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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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