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General NPI Number Information
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NPI Number | 1780494716
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Entity Type | Individual
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Provider Name | NAOMI CHINEYE RENFROE HT(ASCP) CM, CPT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2025
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 168 N JOHNSTON ST STE 300
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City | DALLAS
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State | GA
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Zip | 30132-4741
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Country | US
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Telephone | 877-822-2349
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Fax | 877-341-4313
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Provider Business Mailing Address
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Address Line | 168 N JOHNSTON ST STE 300
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City | DALLAS
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State | GA
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Zip | 30132-4741
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Country | US
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Telephone | 877-822-2349
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Fax | 877-341-4313
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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 | 246RM2200X
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Taxonomy Name | Medical Laboratory 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 | 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 #3
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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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Taxonomy #4
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Taxonomy Code | 246QH0600X
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Taxonomy Name | Histology Specialist/Technologist
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License Number | 26708
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License Number State | GA
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