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General NPI Number Information
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NPI Number | 1487271060
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Entity Type | Organization
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Legal Business Name | MEDICAL LAB PARTNERS LLC
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 14679 MIDWAY RD STE 219
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City | ADDISON
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State | TX
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Zip | 75001-4965
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Country | US
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Telephone | 469-466-9335
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Fax |
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Provider Business Mailing Address
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Address Line | 14679 MIDWAY RD STE 219
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City | ADDISON
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State | TX
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Zip | 75001-4965
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALI MIAN
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Credential |
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Telephone | 469-466-9335
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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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