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General NPI Number Information
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NPI Number | 1679284012
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Entity Type | Organization
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Legal Business Name | GLOBAL XAMS PHLEBOTOMY SERVICES LLC
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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 | 5045 SOPHY DR STE 200-1003
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-5541
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Country | US
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Telephone | 678-865-3405
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Fax |
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Provider Business Mailing Address
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Address Line | 3721 NEW MACLAND RD STE 200-1003
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-2000
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Country | US
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Telephone | 678-865-3405
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ERNESTINE INEAL ELLIOTT
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Credential | MBA
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Telephone | 678-865-3405
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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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