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General NPI Number Information
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NPI Number | 1194830471
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Entity Type | Organization
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Legal Business Name | MOUNT AUBURN PATHOLOGISTS, INC.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 330 MOUNT AUBURN ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5502
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Country | US
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Telephone | 617-965-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 330 MOUNT AUBURN ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5502
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Country | US
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Telephone | 800-927-0002
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRINDA KAMAT
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Credential | MD
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Telephone | 617-965-2000
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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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