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General NPI Number Information
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NPI Number | 1346188950
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Entity Type | Organization
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Legal Business Name | FIVE-T DRUG & ALOCHOL TESTING LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 1776 N JEFFERSON ST NE
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2229
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Country | US
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Telephone | 478-412-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 N JEFFERSON ST NE
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2229
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Country | US
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Telephone | 478-412-1992
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. TITUS BUNDRAGE SR.
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Credential | BUNDRAGE
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Telephone | 478-412-1992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number |
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License Number State |
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