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General NPI Number Information
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NPI Number | 1750044921
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Entity Type | Organization
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Legal Business Name | EXPRESS MOBILE PHLEBOTOMY SERVICES
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 887 ZINNIA LN
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City | PLANTATION
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State | FL
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Zip | 33317-1342
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Country | US
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Telephone | 954-980-0554
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Fax |
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Provider Business Mailing Address
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Address Line | 887 ZINNIA LN
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City | PLANTATION
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State | FL
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Zip | 33317-1342
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Country | US
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Telephone | 954-980-0554
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SHERELL KENDRICK
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Credential |
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Telephone | 954-292-7751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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