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General NPI Number Information
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NPI Number | 1841046125
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Entity Type | Organization
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Legal Business Name | SO VEIN
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 22079 N DIETZ DR
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City | MARICOPA
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State | AZ
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Zip | 85138-5553
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Country | US
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Telephone | 702-980-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 22079 N DIETZ DR
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City | MARICOPA
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State | AZ
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Zip | 85138-5553
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Country | US
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Telephone | 702-980-0234
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JENNIBA RAMSEY
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Credential | PHLEBOTOMIST
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Telephone | 702-980-0234
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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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