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General NPI Number Information
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NPI Number | 1629842968
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Entity Type | Organization
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Legal Business Name | WE TEST LLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 1430 JULIE ST
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City | SEAGOVILLE
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State | TX
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Zip | 75159-5310
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Country | US
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Telephone | 972-232-9152
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Fax | 972-514-3256
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Provider Business Mailing Address
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Address Line | 1430 JULIE ST
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City | SEAGOVILLE
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State | TX
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Zip | 75159-5310
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Country | US
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Telephone | 972-232-9152
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Fax | 972-514-3256
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATRINA HAYNES
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Credential |
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Telephone | 972-232-9096
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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