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General NPI Number Information
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NPI Number | 1649840695
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Entity Type | Organization
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Legal Business Name | RAPID MOBILE LAB
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 14441 SCOTTBURGH GLEN DR
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City | WIMAUMA
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State | FL
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Zip | 33598-6174
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Country | US
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Telephone | 813-409-1434
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Fax | 813-260-1878
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Provider Business Mailing Address
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Address Line | 14441 SCOTTBURGH GLEN DR
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City | WIMAUMA
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State | FL
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Zip | 33598-6174
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Country | US
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Telephone | 813-409-1434
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Fax | 813-260-1878
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Authorized Official
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Title or Position | OWNER/HEAD PHLEBOTOMIST
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Name | SOPHIA RODRIGUEZ
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Credential |
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Telephone | 813-409-1434
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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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