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General NPI Number Information
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NPI Number | 1053686964
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Entity Type | Organization
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Legal Business Name | ADVANCED PATHOLOGY SOLUTIONS, PLLC
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 5328 NORTHSHORE CV
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-5332
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Country | US
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Telephone | 501-225-1400
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Fax | 501-225-1401
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Provider Business Mailing Address
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Address Line | 5328 NORTHSHORE CV
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-5332
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Country | US
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Telephone | 501-225-1400
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Fax | 501-225-1401
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MR. BRANDON CRAIN
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Credential |
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Telephone | 501-225-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic 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 | AR
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