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General NPI Number Information
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NPI Number | 1700692837
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Entity Type | Individual
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Provider Name | ZOE JAMES LUBNOW
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 9000 RATHBURN AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91325-2747
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Country | US
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Telephone | 818-743-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 RATHBURN AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91325-2747
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Country | US
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Telephone | 818-743-6202
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CPT-02380604
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | E175076
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License Number State | CA
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