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General NPI Number Information
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NPI Number | 1932290913
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Entity Type | Organization
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Legal Business Name | AMERIPATH NEW YORK LLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 10 FORBES RD SUITE 260E
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City | BRAINTREE
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State | MA
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Zip | 02184-2605
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Country | US
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Telephone | 866-370-9787
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Fax |
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Provider Business Mailing Address
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Address Line | 7111 FAIRWAY DR SUITE 400
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4207
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Country | US
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Telephone | 561-712-6265
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Fax | 561-712-7349
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Authorized Official
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Title or Position | VP
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Name | DR. EDWARD M KRAMER
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Credential | M.D
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Telephone | 610-550-3000
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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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