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General NPI Number Information
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NPI Number | 1538822218
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Entity Type | Organization
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Legal Business Name | LYFELINES CERTIFICATION AND STAFFING, L.L.C.
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 500 GENE REED RD STE 103
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City | BIRMINGHAM
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State | AL
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Zip | 35215-8260
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Country | US
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Telephone | 205-407-5718
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Fax | 205-407-5802
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Provider Business Mailing Address
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Address Line | 500 GENE REED RD STE 103
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City | BIRMINGHAM
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State | AL
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Zip | 35215-8260
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Country | US
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Telephone | 205-407-5718
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Fax | 205-407-5802
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Authorized Official
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Title or Position | CEO
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Name | MRS. TIESHA GRESHAM
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Credential | REGISTERED NURSE
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Telephone | 205-407-5718
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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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