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General NPI Number Information
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NPI Number | 1508677527
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Entity Type | Organization
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Legal Business Name | MYLABTIME
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 10926 DAVID TAYLOR DR STE 120-3013
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City | CHARLOTTE
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State | NC
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Zip | 28262-1293
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Country | US
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Telephone | 888-840-4364
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Fax |
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Provider Business Mailing Address
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Address Line | 10926 DAVID TAYLOR DR STE 120-3013
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City | CHARLOTTE
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State | NC
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Zip | 28262-1293
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Country | US
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Telephone | 888-840-4364
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Fax |
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Authorized Official
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Title or Position | PHLEBOTOMIST
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Name | HJORDIS SMITH
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Credential |
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Telephone | 888-840-4364
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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 |
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License Number State |
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