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General NPI Number Information
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NPI Number | 1386308336
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Entity Type | Organization
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Legal Business Name | GENTLE TOUCH MOBILE PHLEBOTOMY SERVICES, LLC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 7505 PINES ROAD SUITE 1200-E
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City | SHREVEPORT
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State | LA
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Zip | 71129-3935
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Country | US
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Telephone | 318-517-7428
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Fax | 318-568-8019
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Provider Business Mailing Address
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Address Line | 8001 WYNGATE BLVD
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City | SHREVEPORT
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State | LA
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Zip | 71106-3933
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Country | US
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Telephone | 318-517-7428
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Fax | 318-216-5164
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Authorized Official
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Title or Position | OWNER
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Name | LATANDREA RUFFINS
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Credential | CPBT, LAB ASSISTANT
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Telephone | 318-517-7428
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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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