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General NPI Number Information
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NPI Number | 1437704459
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Entity Type | Organization
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Legal Business Name | FT BUYER, LLC
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 2825 MILLER RANCH RD STE 221
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City | PEARLAND
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State | TX
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Zip | 77584-9714
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Country | US
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Telephone | 404-941-0771
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 SOUTHVIEW LN # 103-140
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City | TUSCALOOSA
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State | AL
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Zip | 35405-6390
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Country | US
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Telephone | 404-941-0771
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANN CLEVELAND
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Credential |
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Telephone | 205-539-1194
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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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