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General NPI Number Information
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NPI Number | 1659633493
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Entity Type | Organization
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Legal Business Name | PATHOLOGY ASSOCIATES OF ARCADIA
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 405 LINDA VISTA AVE
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City | PASADENA
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State | CA
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Zip | 91105-1237
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Country | US
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Telephone | 323-409-4600
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Fax | 323-441-8183
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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 | OWNER / PHYSICIAN
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Name | PARAKRAMA T CHANDRASOMA
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Credential | M.D.
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Telephone | 323-409-4606
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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 | A34284
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License Number State | CA
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