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General NPI Number Information
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NPI Number | 1326993197
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Entity Type | Organization
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Legal Business Name | ON DEMAND MOBILE PHLEBOTOMY LLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 281 NORTHWEST DR
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City | MIAMI
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State | FL
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Zip | 33126-4253
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Country | US
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Telephone | 347-695-6261
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Fax | 347-695-6261
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Provider Business Mailing Address
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Address Line | 281 NORTHWEST DR
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City | MIAMI
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State | FL
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Zip | 33126-4253
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Country | US
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Telephone | 347-695-6261
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Fax | 347-695-6261
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | JHANA EDERY MEDINA
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Credential | MA,CPT
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Telephone | 347-695-6261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2472R0900X
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Taxonomy Name | Renal Dialysis Technician
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License Number |
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License Number State |
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