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General NPI Number Information
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NPI Number | 1457273476
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Entity Type | Organization
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Legal Business Name | GENTLE TOUCH PHLEBOTOMY & WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 706 WILKINS ST STE B
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City | SMITHFIELD
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State | NC
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Zip | 27577-4662
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Country | US
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Telephone | 919-394-5879
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Fax |
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Provider Business Mailing Address
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Address Line | 4250 NC HIGHWAY 96 N
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City | SELMA
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State | NC
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Zip | 27576-8780
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Country | US
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Telephone | 919-394-5879
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LATISHA LASHAY COUNCIL
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Credential | CPT
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Telephone | 919-394-5879
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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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