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General NPI Number Information
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NPI Number | 1235946260
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Entity Type | Organization
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Legal Business Name | TRUSTIX MOBILE PHLEBOTOMY SERVICES LLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 585 TENNESSEE GAS RD STE 5
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City | GREENVILLE
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State | MS
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Zip | 38701-8160
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Country | US
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Telephone | 662-580-4506
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Fax | 662-644-4845
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Provider Business Mailing Address
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Address Line | 585 TENNESSEE GAS RD STE 5
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City | GREENVILLE
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State | MS
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Zip | 38701-8160
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Country | US
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Telephone | 662-580-4506
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Fax | 662-644-4845
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | MRS. HOPE BROWN
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Credential | NP
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Telephone | 662-822-0270
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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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