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General NPI Number Information
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NPI Number | 1710709688
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Entity Type | Organization
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Legal Business Name | BUTTERFLY PHLEBOTOMY LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 305 FM 517 RD E UNIT F
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City | DICKINSON
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State | TX
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Zip | 77539-8643
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Country | US
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Telephone | 409-877-6466
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Fax | 409-449-6442
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Provider Business Mailing Address
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Address Line | 305 FM 517 RD E UNIT F
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City | DICKINSON
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State | TX
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Zip | 77539-8643
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Country | US
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Telephone | 409-877-6466
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Fax | 409-449-6442
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | MRS. FANNITA PHILLIPS
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Credential |
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Telephone | 409-877-6466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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