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General NPI Number Information
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NPI Number | 1548228448
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Entity Type | Organization
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Legal Business Name | CLINICAL PATHOLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 3421 W 9TH ST
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City | WATERLOO
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State | IA
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Zip | 50702-5401
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Country | US
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Telephone | 319-272-8852
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2910
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City | WATERLOO
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State | IA
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Zip | 50704-2910
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Country | US
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Telephone | 319-260-2100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM KASTEN
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Credential | M.D.
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Telephone | 319-272-8852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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