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General NPI Number Information
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NPI Number | 1548950215
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Entity Type | Organization
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Legal Business Name | DUNN MOBILE LABS LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 211 N 1ST ST
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City | BRIGHTON
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State | MI
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Zip | 48116-1279
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Country | US
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Telephone | 810-379-5190
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Fax |
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Provider Business Mailing Address
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Address Line | 3377 CHURCHILL LN APT 5
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City | SAGINAW
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State | MI
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Zip | 48603
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Country | US
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Telephone | 989-397-2006
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Fax |
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Authorized Official
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Title or Position | PHLEBOTOMY TECHNICAN/OWNER
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Name | CHARDA DUNN
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Credential | CPT
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Telephone | 810-379-5190
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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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