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General NPI Number Information
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NPI Number | 1851257299
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Entity Type | Organization
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Legal Business Name | TRUPATH DIAGNOSTICS, PLLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1625 SW 4TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33432-7232
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Country | US
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Telephone | 352-232-4749
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 SW 4TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33432-7232
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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 | CHIEF OPERATING OFFICER
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Name | MATTHEW N SOSA
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Credential | MT, ABB
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Telephone | 352-232-4749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 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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