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General NPI Number Information
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NPI Number | 1558186650
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Entity Type | Organization
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Legal Business Name | DIAMOND PATHOLOGY LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 12595 HESPERIA RD STE 101
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City | VICTORVILLE
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State | CA
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Zip | 92395-5882
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Country | US
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Telephone | 760-881-3377
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Fax | 760-881-3379
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Provider Business Mailing Address
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Address Line | 17203 JASMINE ST
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City | VICTORVILLE
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State | CA
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Zip | 92395-7786
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Country | US
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Telephone | 760-881-3377
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Fax | 760-881-3377
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Authorized Official
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Title or Position | ASSOCIATE/OWNER
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Name | DR. ARNAB BISWAS
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Credential | D.O.
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Telephone | 949-383-8147
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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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