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General NPI Number Information
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NPI Number | 1649141193
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Entity Type | Organization
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Legal Business Name | EASY DRAW PHLEBOTOMY SOLUTIONS LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1387 L ST
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City | ELMONT
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State | NY
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Zip | 11003-3706
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Country | US
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Telephone | 347-842-5586
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Fax |
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Provider Business Mailing Address
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Address Line | 1152A BROADWAY # 1011
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City | HEWLETT
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State | NY
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Zip | 11557-2302
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Country | US
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Telephone | 347-842-5586
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Fax |
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Authorized Official
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Title or Position | PARTNER/ORGANIZER
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Name | MS. PETAGALE ANASTASIA OSBOURNE
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Credential |
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Telephone | 347-842-5586
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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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