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General NPI Number Information
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NPI Number | 1457168734
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Entity Type | Organization
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Legal Business Name | RIYU LABS LLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 4565 NE 36TH AVE BLDG 1
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City | OCALA
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State | FL
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Zip | 34479-2292
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Country | US
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Telephone | 352-421-9176
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Fax | 352-421-5264
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Provider Business Mailing Address
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Address Line | 4565 NE 36TH AVE BLDG 1
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City | OCALA
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State | FL
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Zip | 34479-2292
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Country | US
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Telephone | 352-421-9176
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Fax | 352-421-5264
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN S PRINGLE
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Credential | MA, AA, PT, PT INSTR
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Telephone | 904-828-9296
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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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