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General NPI Number Information
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NPI Number | 1811081797
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Entity Type | Organization
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Legal Business Name | VALLEY PATHOLOGY MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 2185 CITRACADO PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92029-4159
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Country | US
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Telephone | 442-281-5000
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Fax | 419-866-5453
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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 | PRESIDENT
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Name | JERRY KOLINS
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Credential | M.D.
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Telephone | 760-739-3039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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