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General NPI Number Information
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NPI Number | 1386396240
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Entity Type | Organization
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Legal Business Name | U PROVE IT, LLC
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 904 OLIVER HILL WAY APT 409
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City | RICHMOND
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State | VA
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Zip | 23219-1630
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Country | US
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Telephone | 804-489-3781
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Fax | 804-988-5437
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Provider Business Mailing Address
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Address Line | 7330 STAPLES MILL RD # 261
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City | RICHMOND
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State | VA
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Zip | 23228-4122
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Country | US
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Telephone | 804-489-3781
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Fax | 804-988-5437
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Authorized Official
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Title or Position | OWNER
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Name | LATONYA DENISE PATTERSON
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Credential |
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Telephone | 804-489-3781
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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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