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General NPI Number Information
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NPI Number | 1518794957
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Entity Type | Organization
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Legal Business Name | WE ARE STAR SPECIMEN COLLECTORS, LLC
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 7112 AVINGTON WAY
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City | FORT WORTH
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State | TX
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Zip | 76133-8925
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Country | US
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Telephone | 214-769-1880
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Fax | 214-774-6770
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Provider Business Mailing Address
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Address Line | 2800 HIGHWAY 121 SUITE 1000 BOX #1058
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City | EULESS
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State | TX
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Zip | 76039
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Country | US
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Telephone | 214-769-1880
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Fax | 214-774-6770
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Authorized Official
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Title or Position | PHLEBOTOMY SPECIALIST
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Name | CAROLINE C SMITH
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Credential |
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Telephone | 214-769-1880
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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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Taxonomy #2
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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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