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General NPI Number Information
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NPI Number | 1265017743
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Entity Type | Organization
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Legal Business Name | SOUTHERN HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 8150 SOUTHWEST FWY UNIT V1
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City | HOUSTON
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State | TX
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Zip | 77074-1719
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Country | US
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Telephone | 346-320-2105
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Fax | 346-802-2110
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Provider Business Mailing Address
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Address Line | 8150 SOUTHWEST FWY UNIT V1
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City | HOUSTON
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State | TX
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Zip | 77074-1719
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Country | US
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Telephone | 346-320-2105
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Fax | 346-802-2110
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SYED RIZVI
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Credential |
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Telephone | 281-712-8033
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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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