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General NPI Number Information
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NPI Number | 1588373591
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Entity Type | Organization
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Legal Business Name | OMNIPRESENT DIAGNOSTICS LLC
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 3510 1ST AVE N STE 123
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-8416
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Country | US
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Telephone | 727-877-8775
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Fax | 866-425-9297
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Provider Business Mailing Address
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Address Line | 3510 1ST AVE N STE 123
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-8416
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Country | US
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Telephone | 727-877-8775
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Fax | 866-425-9297
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. LAKESHIA CURRIN
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Credential | RN
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Telephone | 727-877-8775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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