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General NPI Number Information
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NPI Number | 1588390785
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Entity Type | Organization
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Legal Business Name | SIMPLY DRAW PHLEBOTOMY
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1800 NE 173RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1540
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Country | US
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Telephone | 305-741-1310
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Fax | 954-827-0446
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Provider Business Mailing Address
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Address Line | 1800 NE 173RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1540
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Country | US
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Telephone | 305-741-1310
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Fax | 954-827-0446
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Authorized Official
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Title or Position | OWNER
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Name | MAKEDA BLAKE
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Credential |
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Telephone | 305-741-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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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 | 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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