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NPI 1194516591

NPI 1194516591 : MARTISHA HILL PHLEB, PHLEB INSTR : STATESBORO, GA

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General NPI Number Information
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    NPI Number           |    1194516591
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    Entity Type          |    Individual 
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    Provider Name        |    MARTISHA HILL PHLEB, PHLEB INSTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/14/2025
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    14 SOLOMAN CIR 
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    City                 |    STATESBORO
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    State                |    GA
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    Zip                  |    30458-0952
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    Country              |    US
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    Telephone            |    844-503-3597
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14 SOLOMAN CIR 
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    City                 |    STATESBORO
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    State                |    GA
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    Zip                  |    30458-0952
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    Country              |    US
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    Telephone            |    844-503-3597
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    Fax                  |    
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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        |    172A00000X
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    Taxonomy Name        |    Driver
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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        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    174H00000X
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    Taxonomy Name        |    Health Educator
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    License Number       |    3176200319
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    License Number State |    GA
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Taxonomy #4
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    Taxonomy Code        |    246RM2200X
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    Taxonomy Name        |    Medical Laboratory Technician
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    License Number       |    8100237786
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    License Number State |    GA
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Taxonomy #5
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    Taxonomy Code        |    247200000X
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    Taxonomy Name        |    Other Technician
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    License Number       |    8100237786
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    374700000X
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    Taxonomy Name        |    Technician
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    License Number       |    8100237786
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    License Number State |    GA
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Taxonomy #7
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    Taxonomy Code        |    246RP1900X
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    Taxonomy Name        |    Phlebotomy Technician
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    License Number       |    8100237786
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    License Number State |    GA
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