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General NPI Number Information
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NPI Number | 1467938993
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Entity Type | Organization
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Legal Business Name | FOCUS PATHOLOGY MEDICAL LABORATORY PLLC
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 10 PEARL ST FL 4
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City | PORT CHESTER
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State | NY
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Zip | 10573-4611
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Country | US
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Telephone | 914-937-3300
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Fax | 914-937-3322
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Provider Business Mailing Address
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Address Line | 10 PEARL ST FL 4
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City | PORT CHESTER
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State | NY
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Zip | 10573-4611
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Country | US
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Telephone | 914-937-3300
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Fax | 914-937-3322
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. EKATERINA CASTANO
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Credential | MD
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Telephone | 914-937-3300
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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 | 267516
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License Number State | NY
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