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General NPI Number Information
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NPI Number | 1467106740
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Entity Type | Organization
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Legal Business Name | FAITHMOBILE TESTING LLC
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 101 S POINTE DR # B
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City | WINTERVILLE
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State | NC
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Zip | 28590-9947
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Country | US
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Telephone | 252-364-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S POINTE DR # B
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City | WINTERVILLE
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State | NC
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Zip | 28590-9947
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Country | US
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Telephone | 252-364-6790
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | SHANNON MARIE QUINERLY
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Credential | RN
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Telephone | 252-364-6790
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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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