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General NPI Number Information
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NPI Number | 1457086860
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Entity Type | Organization
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Legal Business Name | HEALTH SMART LABS LLC
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 826 MERRILLVILLE RD
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City | THOMASVILLE
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State | GA
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Zip | 31757-0719
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Country | US
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Telephone | 229-261-9008
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Fax | 800-778-4450
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Provider Business Mailing Address
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Address Line | 826 MERRILLVILLE RD
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City | THOMASVILLE
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State | GA
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Zip | 31757-0719
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Country | US
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Telephone | 229-261-9008
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Fax | 800-778-4450
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. TONJA ARRINGTON
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Credential |
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Telephone | 229-261-9008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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