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General NPI Number Information
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NPI Number | 1366539595
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Entity Type | Organization
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Legal Business Name | ANNAPATH, INC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 4801 TESLA DR STE HJKL&M
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City | BOWIE
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State | MD
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Zip | 20715-4320
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Country | US
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Telephone | 301-352-6100
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Fax | 301-352-6300
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Provider Business Mailing Address
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Address Line | 4801 TELSA DRIVE SUITE H
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City | BOWIE
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State | MD
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Zip | 20715-4327
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Country | US
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Telephone | 301-352-6100
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Fax | 301-352-6300
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. CRAIG J ZWOBOT
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Credential |
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Telephone | 443-223-4900
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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 |
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License Number State |
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