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General NPI Number Information
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NPI Number | 1992585582
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Entity Type | Organization
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Legal Business Name | ALOHA MOBILE PHLEBOTOMY LLC
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 74 KIHAPAI ST
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City | KAILUA
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State | HI
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Zip | 96734-2612
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Country | US
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Telephone | 808-829-8920
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Fax |
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Provider Business Mailing Address
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Address Line | 827 WANAAO RD
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City | KAILUA
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State | HI
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Zip | 96734-3564
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Country | US
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Telephone | 808-829-8920
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/LEAD PHLEBOTOMIST
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Name | SIERRA NOELANI REDD
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Credential | CPT
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Telephone | 808-829-8920
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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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