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General NPI Number Information
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NPI Number | 1972502532
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Entity Type | Organization
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Legal Business Name | ALLIED DIAGNOSTIC PATHOLOGY CONSULTANTS PA
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Dates
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Enumeration Date | 07/17/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 701 N CLAYTON ST
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City | WILMINGTON
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State | DE
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Zip | 19805
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Country | US
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Telephone | 302-575-8103
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N CLAYTON ST STE 301 MSB
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City | WILMINGTON
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State | DE
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Zip | 19805-3165
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Country | US
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Telephone | 302-575-8103
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES MONIHAN
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Credential | MD
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Telephone | 302-575-8103
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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 | DE
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