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General NPI Number Information
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NPI Number | 1730016767
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Entity Type | Organization
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Legal Business Name | ASB MOBILE PHLEBOTOMY SERVICES
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 10900 183RD ST # 171P
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City | CERRITOS
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State | CA
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Zip | 90703-5342
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Country | US
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Telephone | 818-633-1006
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Fax | 562-270-7928
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Provider Business Mailing Address
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Address Line | 5936 ORANGE AVE APT 18
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City | LONG BEACH
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State | CA
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Zip | 90805-3533
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Country | US
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Telephone | 818-633-1006
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Fax | 562-270-7928
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALICIA SHEVETTE BAKER
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Credential |
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Telephone | 818-633-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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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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