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General NPI Number Information
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NPI Number | 1528645397
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Entity Type | Organization
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Legal Business Name | PLAZMATIC MOBILE PHLEBOTOMY SERVICES
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 5525 CINDERLANE PKWY APT 219
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City | ORLANDO
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State | FL
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Zip | 32808-4743
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Country | US
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Telephone | 407-219-0769
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Fax |
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Provider Business Mailing Address
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Address Line | 4594 LIGHTHOUSE CIR
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City | ORLANDO
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State | FL
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Zip | 32808-2072
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Country | US
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Telephone | 407-219-0769
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GLENDA D. THOMPSON
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Credential |
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Telephone | 407-219-0769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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