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General NPI Number Information
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NPI Number | 1205468204
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Entity Type | Organization
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Legal Business Name | INDEPENDENT PHLEBOTOMY SERVICES LLC
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 623 PARK MEADOW RD STE L2833
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City | WESTERVILLE
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State | OH
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Zip | 43081-2876
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Country | US
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Telephone | 234-521-0651
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Fax | 330-445-1715
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Provider Business Mailing Address
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Address Line | PO BOX 8545
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City | CANTON
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State | OH
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Zip | 44711-8545
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Country | US
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Telephone | 234-521-0651
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Fax |
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | BRENDA LEE ROBINETTE
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Credential | CPT1/MA
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Telephone | 234-521-0651
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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