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General NPI Number Information
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NPI Number | 1669332987
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Entity Type | Organization
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Legal Business Name | CLEVELAND SKIN PATHOLOGY LABORATORY, INC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3737 PARK EAST DR STE 202
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City | BEACHWOOD
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State | OH
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Zip | 44122-4347
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Country | US
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Telephone | 216-464-7770
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Fax | 844-751-9263
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Provider Business Mailing Address
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Address Line | 1355 RIVER BEND DR
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City | DALLAS
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State | TX
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Zip | 75247-4915
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR
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Name | DINA VALLADARES
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Credential |
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Telephone | 561-514-5822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number |
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License Number State |
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