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General NPI Number Information
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NPI Number | 1609212760
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Entity Type | Organization
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Legal Business Name | PINNACLE MOBILE PHLEBOTOMY
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 09/25/2016
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Provider Practice Location Address
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Address Line | 27620 FARMINGTON RD UNIT B2
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3349
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Country | US
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Telephone | 248-702-5551
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Fax | 877-678-3727
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Provider Business Mailing Address
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Address Line | PO BOX 3452
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City | SOUTHFIELD
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State | MI
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Zip | 48037-3452
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Country | US
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Telephone | 248-702-5551
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Fax | 877-678-3727
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Authorized Official
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Title or Position | CEO
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Name | TIFFANY MITCHELL
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Credential |
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Telephone | 248-702-5551
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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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