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General NPI Number Information
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NPI Number | 1396161014
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Entity Type | Organization
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Legal Business Name | CONTRA COSTA PATHOLOGY ASSOCIATES
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 399 TAYLOR BLVD SW 200
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City | PLEASANT HILL
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State | CA
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Zip | 94523
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Country | US
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Telephone | 925-270-3575
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Fax | 925-270-3589
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Provider Business Mailing Address
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Address Line | P.O. BOX 1440
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City | SUISUN CITY
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State | CA
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Zip | 94585
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Country | US
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Telephone | 510-964-0458
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Fax | 510-964-0476
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. BARRY P LATNER
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Credential | MD
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Telephone | 925-270-3575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number |
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License Number State | CA
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