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General NPI Number Information
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NPI Number | 1386729549
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 4001 J ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3626
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Country | US
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Telephone | 916-447-6267
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Fax | 916-447-0621
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Provider Business Mailing Address
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Address Line | 3301 C ST #200E
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City | SACRAMENTO
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State | CA
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Zip | 95816-3300
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Country | US
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Telephone | 916-447-6267
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Fax | 916-447-0621
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL J FINN
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Credential |
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Telephone | 916-446-0424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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