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General NPI Number Information
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NPI Number | 1982538229
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Entity Type | Organization
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Legal Business Name | MIAMI MOBILE PHLEBOTOMY LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 3290 NW 47TH ST
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City | MIAMI
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State | FL
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Zip | 33142-3382
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Country | US
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Telephone | 786-650-9426
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Fax |
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Provider Business Mailing Address
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Address Line | 3290 NW 47TH ST
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City | MIAMI
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State | FL
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Zip | 33142-3382
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Country | US
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Telephone | 786-650-9426
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Fax |
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Authorized Official
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Title or Position | PHLEBOTOMIST
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Name | DIOBER VALLEJO VEGA
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Credential | PHLEBOTOMIST
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Telephone | 786-650-9426
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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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