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General NPI Number Information
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NPI Number | 1992654503
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Entity Type | Organization
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Legal Business Name | LEGACY WORKPLACE TESTING & SCREENING
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 803 VENTURA RD
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City | CHAMPAIGN
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State | IL
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Zip | 61820-7039
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Country | US
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Telephone | 217-766-0675
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Fax | 217-728-1357
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Provider Business Mailing Address
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Address Line | 803 VENTURA RD
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City | CHAMPAIGN
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State | IL
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Zip | 61820-7039
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Country | US
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Telephone | 217-766-0675
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Fax | 217-728-1357
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Authorized Official
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Title or Position | OWNER
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Name | MS. KWANESHA AKER
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Credential | PHLEBOTOMIST
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Telephone | 217-766-0675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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