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General NPI Number Information
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NPI Number | 1215079462
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Entity Type | Organization
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Legal Business Name | OAKLAND COUNTY PATHOLOGISTS, PLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-338-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1917 RELIABLE PKWY
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City | CHICAGO
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State | IL
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Zip | 60686-0001
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Country | US
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Telephone | 248-338-5000
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | SHEILA F ARANA
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Credential |
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Telephone | 586-412-4421
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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 | 005541
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License Number State | MI
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