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General NPI Number Information
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NPI Number | 1891496006
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Entity Type | Organization
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Legal Business Name | PREMIER TESTING AND SCREENING SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 3915 CASCADE RD SW STE 130
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City | ATLANTA
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State | GA
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Zip | 30331-8522
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Country | US
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Telephone | 678-852-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 3915 CASCADE RD SW STE 130
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City | ATLANTA
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State | GA
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Zip | 30331-8522
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Country | US
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Telephone | 678-852-6767
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. DIONNE HUFFMAN
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Credential | M. ED.
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Telephone | 678-852-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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