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General NPI Number Information
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NPI Number | 1881004471
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Entity Type | Organization
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Legal Business Name | QUICC EXPRESS MOBILE PHLEBOTOMY
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 6724 KITTRIDGE ST
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City | HOUSTON
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State | TX
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Zip | 77028
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Country | US
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Telephone | 713-836-2883
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Fax |
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Provider Business Mailing Address
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Address Line | 6724 KITTRIDGE ST
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City | HOUSTON
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State | TX
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Zip | 77028-3031
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Country | US
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Telephone | 713-836-2883
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEBORA ANN HUDSON
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Credential | PHLEBOTOMY
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Telephone | 713-836-2883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | TX
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