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General NPI Number Information
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NPI Number | 1548270648
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Entity Type | Organization
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Legal Business Name | HISTO PATH OF AMERICA INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 405 HEADQUARTERS DR SUITE 5
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City | MILLERSVILLE
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State | MD
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Zip | 21108
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Country | US
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Telephone | 410-729-2300
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Fax | 410-729-2319
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Provider Business Mailing Address
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Address Line | 405 HEADQUARTERS DR SUITE 5
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City | MILLERSVILLE
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State | MD
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Zip | 21108
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Country | US
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Telephone | 410-729-2300
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Fax | 410-729-2319
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MS. CAROLYN ANN DURKOWSKI
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Credential | HT ASCP
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Telephone | 410-729-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246QH0600X
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Taxonomy Name | Histology Specialist/Technologist
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License Number | 919
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 246QH0600X
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Taxonomy Name | Histology Specialist/Technologist
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License Number |
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License Number State | MD
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