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General NPI Number Information
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NPI Number | 1720928385
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Entity Type | Organization
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Legal Business Name | TRUSTED SERVICE
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 1011 CLUSTER SPRING SCHOOL RD
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City | SOUTH BOSTON
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State | VA
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Zip | 24592
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Country | US
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Telephone | 434-471-0195
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Fax | 434-922-2321
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Provider Business Mailing Address
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Address Line | P.O. BOX 362
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City | HALIFAX
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State | VA
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Zip | 24558
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Country | US
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Telephone | 434-471-0195
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Fax |
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Authorized Official
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Title or Position | OPERATION MANAGEMENT
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Name | MRS. TYRONZA LASHAE COLEMAN
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Credential |
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Telephone | 434-417-0195
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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