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General NPI Number Information
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NPI Number | 1497805733
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Entity Type | Organization
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Legal Business Name | AMERIPATH TUCSON INC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 630 N ALVERNON WAY
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City | TUCSON
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State | AZ
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Zip | 85711-1843
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Country | US
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Telephone | 520-320-7681
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Fax |
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Provider Business Mailing Address
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Address Line | 14275 MIDWAY RD STE 400
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City | ADDISON
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State | TX
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Zip | 75001-3614
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Country | US
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Telephone |
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Fax | 610-271-4245
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DARREN THOMAS WHEELER
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Credential |
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Telephone | 702-733-7866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 03D0980494
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 03D0980494
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License Number State | AZ
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