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General NPI Number Information
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NPI Number | 1508541913
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Entity Type | Organization
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Legal Business Name | A GOOD MOBILE TESTING
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 8110 CAROLINE RIDGE DR
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City | HUMBLE
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State | TX
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Zip | 77396-1102
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Country | US
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Telephone | 954-610-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 17350 STATE HIGHWAY 249 STE 200
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City | HOUSTON
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State | TX
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Zip | 77064-1132
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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 | OWNER/LAB DIRECTOR
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Name | ARMANI GOODWIN
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Credential | RN
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Telephone | 954-610-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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