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General NPI Number Information
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NPI Number | 1023066412
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Entity Type | Organization
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Legal Business Name | AMARILLO PATHOLOGY ASSOCIATES LTD
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1501 S COULTER ST
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City | AMARILLO
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State | TX
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Zip | 79106-1770
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Country | US
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Telephone | 806-355-7286
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Fax | 806-350-2597
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Provider Business Mailing Address
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Address Line | PO BOX 51525
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City | AMARILLO
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State | TX
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Zip | 79159-1525
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Country | US
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Telephone | 806-355-7286
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MICAH LEA CARDEN
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Credential | MS RD LD
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Telephone | 806-418-3845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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