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General NPI Number Information
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NPI Number | 1699369405
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Entity Type | Organization
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Legal Business Name | PINK MOBILE LABS & DIAGNOSTICS
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 2820 NE 214TH ST UNIT 8TH
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City | AVENTURA
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State | FL
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Zip | 33180-1268
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Country | US
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Telephone | 754-300-9290
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Fax | 754-220-9053
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Provider Business Mailing Address
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Address Line | 2820 NE 214TH ST UNIT 8TH
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City | AVENTURA
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State | FL
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Zip | 33180-1268
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Country | US
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Telephone | 754-300-9290
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Fax | 754-220-9053
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Authorized Official
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Title or Position | OWNER
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Name | SARAH MONIQUE DENNIS
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Credential |
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Telephone | 754-300-9290
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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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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0207X
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Taxonomy Name | Mobile Mammography Clinic/Center
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License Number |
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License Number State |
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