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General NPI Number Information
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NPI Number | 1548683675
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Entity Type | Organization
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Legal Business Name | DEE'S MOBILE PHLEBOTOMY SERVICE, LLC
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 9894 BISSONNET ST # 715
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City | HOUSTON
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State | TX
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Zip | 77036-8239
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Country | US
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Telephone | 713-485-4167
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Fax | 281-710-4025
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Provider Business Mailing Address
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Address Line | 9894 BISSONNET ST # 715
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City | HOUSTON
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State | TX
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Zip | 77036-8239
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Country | US
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Telephone | 713-485-4167
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Fax | 281-710-4025
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Authorized Official
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Title or Position | PHLEBOTOMIST/OWNER
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Name | DORRETTA SMITH
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Credential |
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Telephone | 713-485-4167
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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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