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General NPI Number Information
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NPI Number | 1184157935
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Entity Type | Organization
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Legal Business Name | HOOPER'S MOBILE PHLEBOTOMIST
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Dates
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Enumeration Date | 04/08/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 601 FRIENDWAY RD APT 3L
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City | GREENSBORO
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State | NC
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Zip | 27410-6403
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Country | US
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Telephone | 336-402-5932
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14781
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City | GREENSBORO
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State | NC
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Zip | 27415-4781
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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 | PHLEBOTOMIST/OWNER
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Name | CRYSTALYN HOOPER
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Credential |
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Telephone | 336-402-5932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 291900000X
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Taxonomy Name | Military Clinical Medical Laboratory
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 292200000X
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Taxonomy Name | Dental Laboratory
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License Number |
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NC
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