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General NPI Number Information
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NPI Number | 1538445937
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Entity Type | Organization
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Legal Business Name | THYROID CYTOPATHOLOGY PARTNERS PA
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Dates
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Enumeration Date | 10/30/2011
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 12357 A RIATA TRACE PARKWAY, BLDG. 5 SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78727
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Country | US
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Telephone | 512-814-2504
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Fax |
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Provider Business Mailing Address
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Address Line | 9215 SILVER PINE CV.
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City | AUSTIN
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State | TX
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Zip | 78733
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Country | US
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Telephone | 512-431-8896
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | LARA SHOBE
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Credential |
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Telephone | 512-814-2504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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