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General NPI Number Information
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NPI Number | 1861783227
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Entity Type | Organization
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Legal Business Name | AMERICAN REGISTRY OF PATHOLOGY
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 6825 16TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20306-0003
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Country | US
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Telephone | 202-782-2143
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Fax |
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Provider Business Mailing Address
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Address Line | 6825 16TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20306-0003
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Country | US
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Telephone | 202-782-2143
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. WILLIAM GARDNER
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Credential | M.D.
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Telephone | 202-782-2143
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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 | D0000003
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License Number State | MD
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