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General NPI Number Information
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NPI Number | 1831826932
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Entity Type | Organization
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Legal Business Name | ALZPATH INC.
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 2292 FARADAY AVE
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City | CARLSBAD
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State | CA
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Zip | 92008-7238
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Country | US
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Telephone | 760-420-8130
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Fax |
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Provider Business Mailing Address
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Address Line | 2292 FARADAY AVE
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City | CARLSBAD
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State | CA
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Zip | 92008-7238
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Country | US
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Telephone | 760-420-8130
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, BUSINESS OPERATIONS
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Name | PATTY WAYMIRE
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Credential |
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Telephone | 760-420-8130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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