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General NPI Number Information
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NPI Number | 1629016282
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Entity Type | Organization
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Legal Business Name | PATHOLOGY ASSOCIATES OF SILVER SPRING, LLC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 1500 FOREST GLEN RD
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City | SILVER SPRING
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State | MD
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Zip | 20910-1483
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Country | US
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Telephone | 301-754-7335
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Fax |
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Provider Business Mailing Address
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Address Line | 8810 EGGERT DR
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City | BETHESDA
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State | MD
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Zip | 20817
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Country | US
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Telephone | 301-529-1028
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Fax | 301-754-7324
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Authorized Official
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Title or Position | OWNER
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Name | PABLO DANIEL GUTMAN
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Credential | MD
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Telephone | 301-529-1028
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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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