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General NPI Number Information
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NPI Number | 1598591190
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Entity Type | Organization
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Legal Business Name | LOVELLS LAB SERVICES LLC
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 3239 W SENECA TPKE
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City | SYRACUSE
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State | NY
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Zip | 13215-9646
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Country | US
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Telephone | 315-269-5142
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Fax |
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Provider Business Mailing Address
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Address Line | 3239 W SENECA TPKE
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City | SYRACUSE
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State | NY
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Zip | 13215-9646
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Country | US
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Telephone | 315-269-5142
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | INDIA NICOLE ROLAND
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Credential |
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Telephone | 315-269-5142
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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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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 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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