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General NPI Number Information
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NPI Number | 1821997420
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Entity Type | Organization
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Legal Business Name | PRECISION MOBILE PHLEBOTOMY CARE LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1706 SPRINGFIELD RD APT 8
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City | BLOOMINGTON
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State | IL
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Zip | 61701-6580
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Country | US
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Telephone | 307-400-4459
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6131
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City | ROCK ISLAND
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State | IL
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Zip | 61204-6131
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARIEO BURRAGE
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Credential |
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Telephone | 307-400-4459
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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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