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General NPI Number Information
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NPI Number | 1295685097
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Entity Type | Organization
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Legal Business Name | PRESTIGE PHLEBOTOMY, CORPORATION
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 309 N GALLOWAY AVE STE 101
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City | MESQUITE
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State | TX
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Zip | 75149-4300
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Country | US
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Telephone | 469-619-7618
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Fax |
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Provider Business Mailing Address
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Address Line | 309 N GALLOWAY AVE STE 101
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City | MESQUITE
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State | TX
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Zip | 75149-4300
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Country | US
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Telephone | 469-619-7618
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | TOMORA DUNCAN
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Credential | B.S.B.A., CPT
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Telephone | 469-618-7618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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