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General NPI Number Information
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NPI Number | 1629141874
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Entity Type | Organization
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Legal Business Name | ADVANCED DIAGNOSTIC PATHOLOGY ASSOCIATES, LTD
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1 NOLTE DR
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City | KITTANNING
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State | PA
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Zip | 16201-7111
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Country | US
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Telephone | 724-543-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 SOUTHWYCK BLVD
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City | TOLEDO
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State | OH
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Zip | 43614-1509
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Country | US
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Telephone | 800-288-8325
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Fax | 419-866-5453
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Authorized Official
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Title or Position | PRES
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Name | MANJU NATH
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Credential | MD
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Telephone | 245-438-5000
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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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