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General NPI Number Information
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NPI Number | 1922624824
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Entity Type | Organization
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Legal Business Name | PHLEB EXPRESS,LLC
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 2817 JAMES ST STE 211
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City | SYRACUSE
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State | NY
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Zip | 13206-2238
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Country | US
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Telephone | 315-706-7458
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Fax |
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Provider Business Mailing Address
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Address Line | 7285 STATE ROUTE 31
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City | CICERO
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State | NY
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Zip | 13039-9740
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Country | US
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Telephone | 315-706-7458
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Fax |
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Authorized Official
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Title or Position | MEDICAL ASSISTANT
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Name | MS. TRINISHA SANJURJO
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Credential |
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Telephone | 315-396-5790
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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 |
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