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General NPI Number Information
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NPI Number | 1194953810
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Entity Type | Organization
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Legal Business Name | GLOBAL DERMATOPATHOLOGY SERVICES, PLC
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 14019 S 8TH ST
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City | PHOENIX
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State | AZ
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Zip | 85048-4459
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Country | US
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Telephone | 408-668-3737
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Fax | 480-699-9383
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Provider Business Mailing Address
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Address Line | 1241 JOHNSON AVE MAIL BOX 312
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3306
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Country | US
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Telephone | 480-668-3737
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Fax | 480-699-9383
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Authorized Official
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Title or Position | DIRECTOR AND OWNER
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Name | DR. IFTIKHAR AHMED
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Credential | M.D.
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Telephone | 480-668-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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