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General NPI Number Information
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NPI Number | 1194383141
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Entity Type | Individual
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Provider Name | DOROTHY MARIE MITCHELL LSA, CSFA, CST
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Gender | Female
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1110 N LOOP 336 W STE 410-E
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City | CONROE
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State | TX
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Zip | 77301-1193
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Country | US
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Telephone | 936-337-3565
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Fax | 936-260-0265
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Provider Business Mailing Address
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Address Line | 1110 N LOOP 336 W STE 410-E
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City | CONROE
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State | TX
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Zip | 77301-1193
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Country | US
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Telephone | 936-337-3565
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Fax | 936-260-0265
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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Taxonomy #2
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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Taxonomy #3
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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