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General NPI Number Information
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NPI Number | 1811706740
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Entity Type | Organization
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Legal Business Name | THE PHLEBOTOTMY INSTITUTE MOBILE
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 709 N 2ND STREET SUITE 400 #1241
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City | PHILADELPHIA
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State | PA
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Zip | 19123-4197
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Country | US
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Telephone | 520-729-2707
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Fax | 445-800-8643
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Provider Business Mailing Address
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Address Line | 2290 W OREGON AVE # 1141
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City | PHILADELPHIA
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State | PA
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Zip | 19145-4197
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Country | US
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Telephone | 520-729-2707
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Fax | 445-800-8643
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Authorized Official
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Title or Position | OWNER
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Name | TYISHA CHARLES
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Credential |
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Telephone | 520-729-2707
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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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