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General NPI Number Information
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NPI Number | 1558245811
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Entity Type | Organization
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Legal Business Name | LASHORATORY LLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 6211 BROOKLYN BLVD # 147
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City | BROOKLYN CENTER
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State | MN
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Zip | 55429-4035
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Country | US
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Telephone | 952-222-8027
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Fax | 952-222-8027
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Provider Business Mailing Address
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Address Line | 1553 100TH AVE NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-5004
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Country | US
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Telephone | 952-222-8027
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIAN NYUMA
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Credential |
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Telephone | 952-222-8027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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