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General NPI Number Information
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NPI Number | 1407013493
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Entity Type | Organization
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Legal Business Name | ACCESS PATHOLOGY INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 12408 N 56TH ST SUITE 4
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City | TAMPA
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State | FL
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Zip | 33617-1522
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Country | US
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Telephone | 813-985-8700
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Fax | 813-985-8711
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Provider Business Mailing Address
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Address Line | 12408 N 56TH ST SUITE 4
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City | TAMPA
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State | FL
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Zip | 33617-1522
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Country | US
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Telephone | 813-985-8700
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Fax | 813-985-8711
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SALAH ANTAR
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Credential | M.D.
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Telephone | 813-985-8700
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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 | 800023384
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License Number State | FL
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