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General NPI Number Information
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NPI Number | 1396507141
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Entity Type | Organization
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Legal Business Name | JL MOBILE PHLEBOTOMY LLC
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 16 LAS PIEDRAS
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-1627
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Country | US
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Telephone | 949-302-7581
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80447
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-0447
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Country | US
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Telephone | 949-460-3316
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER LESLIE LUJAN
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Credential | PHLEBOTOMIST
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Telephone | 949-460-3316
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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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