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General NPI Number Information
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NPI Number | 1326244740
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Entity Type | Individual
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Provider Name | PABLO CESAR SOUZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 2204 WILBORN AVE
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-1645
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Country | US
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Telephone | 434-517-3229
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Fax | 434-517-3117
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Provider Business Mailing Address
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Address Line | 1052 CAROLYN CT
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City | HALIFAX
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State | VA
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Zip | 24558-3036
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Country | US
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Telephone | 405-306-0210
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | M5516
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License Number State | TX
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