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General NPI Number Information
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NPI Number | 1316837594
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Entity Type | Organization
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Legal Business Name | D&G PRECISION DRUG TESTING, LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 5749 BROWNLEE DR
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City | JACKSON
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State | MS
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Zip | 39206-2716
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Country | US
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Telephone | 601-790-0510
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Fax |
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Provider Business Mailing Address
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Address Line | 5749 BROWNLEE DR
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City | JACKSON
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State | MS
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Zip | 39206-2716
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Country | US
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Telephone | 601-790-0510
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | CHASITY C DAVIS
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Credential |
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Telephone | 601-790-0510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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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 | 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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