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General NPI Number Information
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NPI Number | 1528738846
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Entity Type | Organization
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Legal Business Name | FAST TRACK TESTING, 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 | 1276 SAINT CYR RD STE 106
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City | SAINT LOUIS
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State | MO
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Zip | 63137-1224
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Country | US
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Telephone | 131-447-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 1834 CHARLESTON ESTATES DR
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City | FLORISSANT
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State | MO
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Zip | 63031-1058
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Country | US
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Telephone | 131-447-7246
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | JAMIKA NICHOL KEMPER
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Credential | RN
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Telephone | 131-447-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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