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General NPI Number Information
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NPI Number | 1336000207
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Entity Type | Organization
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Legal Business Name | ADVANCE DRUG TESTING LLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3055 CENTRAL AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-2122
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Country | US
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Telephone | 320-245-1779
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Fax | 612-500-4285
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Provider Business Mailing Address
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Address Line | 3055 CENTRAL AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-2122
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Country | US
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Telephone | 320-245-1779
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Fax | 612-500-4285
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Authorized Official
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Title or Position | MANAGER
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Name | ABDI SAID JAMA
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Credential |
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Telephone | 320-245-1779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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