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General NPI Number Information
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NPI Number | 1427701812
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Entity Type | Organization
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Legal Business Name | ALL IN ONE MOBILE LAB LLC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 5877 PORTAGE ST NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-6770
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Country | US
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Telephone | 330-936-8875
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Fax |
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Provider Business Mailing Address
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Address Line | 839 E MARKET ST STE 215
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City | AKRON
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State | OH
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Zip | 44305-2460
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Country | US
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Telephone | 330-936-5577
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | DEMETRIA RENAE HUBBARD
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Credential |
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Telephone | 330-936-5777
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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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