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General NPI Number Information
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NPI Number | 1639880016
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Entity Type | Organization
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Legal Business Name | PHLEB CHOICES
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 1635 GARMAN RD
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City | AKRON
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State | OH
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Zip | 44313-6339
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Country | US
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Telephone | 330-809-4266
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Fax | 330-809-4266
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Provider Business Mailing Address
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Address Line | 106 CHARLES ST
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City | AKRON
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State | OH
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Zip | 44304-1127
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Country | US
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Telephone | 330-809-4266
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Fax |
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Authorized Official
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Title or Position | PHLEBOTOMIST
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Name | MS. NICHELLE NICOLE LOPP
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Credential |
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Telephone | 234-281-9878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 331L00000X
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Taxonomy Name | Blood Bank
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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 | 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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