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General NPI Number Information
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NPI Number | 1992668040
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Entity Type | Organization
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Legal Business Name | PHLEBOTIX LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1280 THOMASWOOD DR. #205
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City | WHITSETT
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State | NC
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Zip | 27377
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Country | US
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Telephone | 984-683-9342
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 THOMASWOOD DR APT 205
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City | WHITSETT
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State | NC
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Zip | 27377-0018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TYARA MORRISON
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Credential | CPT
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Telephone | 984-683-9342
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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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