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General NPI Number Information
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NPI Number | 1356252845
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Entity Type | Individual
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Provider Name | YONAI THESSA DURE BERNARD PHLEBOTOMIST
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 390 WEST ST STE 3
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City | MANSFIELD
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State | MA
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Zip | 02048-1170
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Country | US
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Telephone | 774-523-7780
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Fax | 774-523-7781
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Provider Business Mailing Address
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Address Line | 15 WASHINGTON ST APT 16
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City | PLAINVILLE
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State | MA
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Zip | 02762-2657
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Country | US
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Telephone | 519-924-4410
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | NPCN-17838-19381
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License Number State | MA
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