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General NPI Number Information
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NPI Number | 1134190564
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Entity Type | Organization
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Legal Business Name | GLOBAL PATHOLOGY LABORATORY SERVICES INC
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 16250 NW 59TH AVE #201
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City | MIAMI LAKES
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State | FL
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Zip | 33014-7542
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Country | US
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Telephone | 305-825-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 16250 NW 59TH AVE #201
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City | MIAMI LAKES
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State | FL
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Zip | 33014-7542
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Country | US
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Telephone | 305-825-4422
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ANDREW J HANLY
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Credential | MD
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Telephone | 305-825-4422
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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 |
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License Number State |
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Taxonomy #2
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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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