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General NPI Number Information
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NPI Number | 1184337834
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Entity Type | Organization
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Legal Business Name | AURAPATH TECHNOLOGIES LLC
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 1611 SIMMS ST
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City | AURORA
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State | IL
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Zip | 60504-4359
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Country | US
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Telephone | 708-368-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 SIMMS ST
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City | AURORA
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State | IL
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Zip | 60504-4359
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Country | US
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Telephone | 708-368-5055
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LISA PORTER
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Credential | MS, HTL(ASCP)
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Telephone | 708-368-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246QH0600X
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Taxonomy Name | Histology Specialist/Technologist
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License Number |
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License Number State |
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