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General NPI Number Information
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NPI Number | 1073610275
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Entity Type | Organization
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Legal Business Name | FLOW PATH LABORATORIES INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 7449 SOUTH MILITARY TRAIL
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City | LAKE WORTH
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State | FL
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Zip | 33463
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Country | US
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Telephone | 305-229-4311
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Fax | 305-229-4388
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Provider Business Mailing Address
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Address Line | PO BOX 63069
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City | CHARLESTON
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State | SC
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Zip | 29419-3069
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Country | US
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Telephone | 866-759-4528
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LARRY S HIRSCHFIELD
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Credential | MD
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Telephone | 561-491-8035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 10D1061166
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License Number State | FL
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