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General NPI Number Information
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NPI Number | 1932482270
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Entity Type | Organization
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Legal Business Name | QUICK DRAW PROFESSIONAL LAB SERVICES
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 3101 S RENE DR
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City | SANTA ANA
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State | CA
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Zip | 92704-6730
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Country | US
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Telephone | 714-588-9697
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 S RENE DR
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City | SANTA ANA
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State | CA
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Zip | 92704-6730
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Country | US
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Telephone | 714-588-9697
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Fax |
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Authorized Official
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Title or Position | PHLEBOTOMIST/CEO
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Name | MISS MILENE UY
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Credential |
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Telephone | 714-588-9697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | CPT00026105
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 335013
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License Number State | CA
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