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General NPI Number Information
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NPI Number | 1205432457
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Entity Type | Organization
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Legal Business Name | QUALITY PHLEBOTOMY L.L.C
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 2051 217TH ST
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City | SAUK VILLAGE
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State | IL
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Zip | 60411-4520
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Country | US
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Telephone | 708-631-8931
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Fax |
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Provider Business Mailing Address
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Address Line | 2051 217TH ST
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City | SAUK VILLAGE
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State | IL
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Zip | 60411-4520
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Country | US
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Telephone | 708-631-8931
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMARIA SING
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Credential | PHLEBOTOMIST
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Telephone | 708-631-8931
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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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