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General NPI Number Information
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NPI Number | 1184220428
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Entity Type | Organization
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Legal Business Name | FTLPARAMEDICAL LLC
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 424 CENTRAL ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-6126
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Country | US
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Telephone | 978-840-8440
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Fax | 978-840-4499
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Provider Business Mailing Address
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Address Line | 424 CENTRAL ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-6126
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Country | US
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Telephone | 978-840-4880
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Fax | 978-840-4499
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | APRIL DAVIS
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Credential |
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Telephone | 978-840-4880
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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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