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General NPI Number Information
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NPI Number | 1912172024
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Entity Type | Organization
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Legal Business Name | PALM BEACH PATHOLOGY PA
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 901 45TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2413
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Country | US
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Telephone | 954-240-9555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4117
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City | WEST PALM BEACH
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State | FL
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Zip | 33402-4117
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Country | US
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Telephone | 954-240-9555
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Fax | 770-666-9514
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS A BOLTON
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Credential | MD
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Telephone | 954-240-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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