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General NPI Number Information
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NPI Number | 1356511513
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Entity Type | Individual
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Provider Name | STEVEN JOHN AVOLICINO HT
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Gender | Male
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 2829 DEPOT RD 4
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City | HAYWARD
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State | CA
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Zip | 94545-2359
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Country | US
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Telephone | 510-285-6324
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Fax | 510-785-0643
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Provider Business Mailing Address
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Address Line | 2829 DEPOT RD 4
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City | HAYWARD
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State | CA
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Zip | 94545-2359
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Country | US
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Telephone | 510-285-6324
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Fax | 510-785-0643
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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 | 246QH0600X
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Taxonomy Name | Histology Specialist/Technologist
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License Number |
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License Number State |
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