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General NPI Number Information
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NPI Number | 1306787692
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Entity Type | Organization
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Legal Business Name | STICK AND MOVE
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 107 SHERMAN ST
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City | WARNER ROBINS
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State | GA
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Zip | 31088-5141
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Country | US
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Telephone | 478-227-1214
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Fax |
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Provider Business Mailing Address
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Address Line | 184 MYRTLE ST
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City | PERRY
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State | FL
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Zip | 32347-0632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CERTIFIED PHLEBOMIST
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Name | MS. SONJA M GRIFFIN
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Credential | CMA,CPT
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Telephone | 478-227-1214
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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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