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General NPI Number Information
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NPI Number | 1376291583
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Entity Type | Organization
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Legal Business Name | FLORIDA'S MOBILE LAB
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 2070 LINCOLN AVE APT 5
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City | OPA LOCKA
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State | FL
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Zip | 33054-5201
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Country | US
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Telephone | 954-297-6119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 611181
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City | MIAMI
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State | FL
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Zip | 33261-1181
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Country | US
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Telephone | 954-297-6119
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. MAGDALA CHERY
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Credential |
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Telephone | 954-297-6119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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