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General NPI Number Information
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NPI Number | 1639424278
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Entity Type | Organization
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Legal Business Name | DRAWN TO YOU, LLC
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 14431 SE 61ST AVE
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City | SUMMERFIELD
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State | FL
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Zip | 34491-7726
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Country | US
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Telephone | 352-470-7034
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Fax | 352-347-5570
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Provider Business Mailing Address
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Address Line | 14431 SE 61ST AVE
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City | SUMMERFIELD
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State | FL
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Zip | 34491-7726
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Country | US
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Telephone | 352-470-7034
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Fax | 352-347-5570
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHRISTINA MARIE HOLMAN
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Credential | PHLEBOTOMIST
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Telephone | 352-470-7034
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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 | 010562-CPT12
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License Number State | FL
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