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General NPI Number Information
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NPI Number | 1891582300
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Entity Type | Organization
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Legal Business Name | THE PHLEB COACH LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 3920 LINDELL BLVD STE 209
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3254
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Country | US
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Telephone | 314-932-7196
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Fax |
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Provider Business Mailing Address
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Address Line | 3920 LINDELL BLVD STE 209
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3254
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Country | US
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Telephone | 314-932-7196
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. SALIDA-MARIE JONES
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Credential | CPT, RMA
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Telephone | 314-422-1489
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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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