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General NPI Number Information
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NPI Number | 1184225922
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Entity Type | Organization
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Legal Business Name | HEMA ONESTOP DRAWING STATION
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 6 SIEBENKITTEL CIR STE L
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City | CARRIERE
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State | MS
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Zip | 39426-8777
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Country | US
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Telephone | 769-926-1847
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 S BEECH ST
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City | PICAYUNE
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State | MS
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Zip | 39466-5009
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Country | US
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Telephone | 769-926-1874
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MRS. KATRINA BROWN
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Credential |
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Telephone | 769-926-1847
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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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