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General NPI Number Information
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NPI Number | 1205506490
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Entity Type | Organization
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Legal Business Name | HEALTH RAPID LAB LLC
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 3435 WASHINGTON DR STE 207
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City | EAGAN
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State | MN
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Zip | 55122-1339
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Country | US
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Telephone | 612-250-3237
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 WASHINGTON DR STE 207
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City | EAGAN
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State | MN
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Zip | 55122-1339
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Country | US
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Telephone | 612-250-3237
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MAHAMUD MAHAMED
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Credential |
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Telephone | 612-250-3237
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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