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General NPI Number Information
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NPI Number | 1205898475
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Entity Type | Organization
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Legal Business Name | DESERT PATHOLOGY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 1150 N INDIAN CANYON DR DESERT REGIONAL MED CTR PATHOLOGY DEPT
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4872
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Country | US
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Telephone | 760-323-6198
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Fax | 760-323-6195
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Provider Business Mailing Address
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Address Line | 14275 MIDWAY ROAD SUITE 400
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City | ADDISON
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State | TX
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Zip | 75001-3676
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Country | US
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Telephone | 214-932-8029
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Fax | 610-271-4245
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | NATHAN SHERMAN
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Credential | M.D.
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Telephone | 703-802-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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