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General NPI Number Information
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NPI Number | 1508368036
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Entity Type | Organization
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Legal Business Name | ADVANCED MOBILE PHLEBOTOMY SERVICES
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 1539 FALDA DEL CERRO CT
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City | EL CAJON
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State | CA
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Zip | 92019-3607
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Country | US
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Telephone | 619-493-5544
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Fax |
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Provider Business Mailing Address
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Address Line | 1539 FALDA DEL CERRO CT
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City | EL CAJON
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State | CA
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Zip | 92019-3607
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Country | US
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Telephone | 619-493-5544
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIOSAFINE AYUYAO DEOCAMPO
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Credential |
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Telephone | 619-493-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | CPT00000986
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License Number State | CA
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