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General NPI Number Information
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NPI Number | 1306817960
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Entity Type | Organization
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Legal Business Name | AMERIPATH 501A CORPORATION
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 2330 BUTLER ST SUITE 115
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City | DALLAS
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State | TX
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Zip | 75235-7828
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Country | US
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Telephone | 800-309-0000
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Fax | 214-630-5210
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Provider Business Mailing Address
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Address Line | 7111 FAIRWAY DR SUITE 400
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4207
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Country | US
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Telephone | 561-712-6200
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Fax | 561-712-7349
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. EDWARD M KRAMER
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Credential | MD
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Telephone | 610-550-3000
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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 | 45D0677505
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License Number State | TX
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