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General NPI Number Information
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NPI Number | 1578426177
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Entity Type | Organization
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Legal Business Name | GENTLE TOUCH MOBILE PHLEBOTOMY05
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 8022 ROCKBRIDGE RD
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City | LITHONIA
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State | GA
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Zip | 30058-5882
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Country | US
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Telephone | 678-485-9784
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Fax |
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Provider Business Mailing Address
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Address Line | 860 STONEBROOK DR
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City | LITHONIA
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State | GA
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Zip | 30058-9042
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Country | US
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Telephone | 678-485-9784
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | FRANCES S CRAIG
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Credential |
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Telephone | 678-485-9784
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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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