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General NPI Number Information
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NPI Number | 1346258241
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Entity Type | Organization
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Legal Business Name | MUHLBAUER DERMATOPATHOLOGY PC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 61 MONROE AVENUE SUITE B
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City | PITTSFORD
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State | NY
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Zip | 14534
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Country | US
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Telephone | 585-586-5166
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Fax | 585-586-1370
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Provider Business Mailing Address
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Address Line | PO BOX 23930
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City | ROCHESTER
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State | NY
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Zip | 14692
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Country | US
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Telephone | 585-586-5166
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Fax | 585-586-1370
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | JAN E MUHLBAUER
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Credential | MD
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Telephone | 585-586-5166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number |
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License Number State | NY
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