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General NPI Number Information
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NPI Number | 1073637740
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Entity Type | Organization
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Legal Business Name | ALBANY PATHOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1907 PALMYRA RD
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City | ALBANY
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State | GA
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Zip | 31701-1574
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Country | US
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Telephone | 229-439-7170
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Fax | 229-431-0770
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Provider Business Mailing Address
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Address Line | PO BOX 71385
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City | ALBANY
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State | GA
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Zip | 31708-1385
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Country | US
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Telephone | 229-439-7170
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Fax | 229-431-0770
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHRISTINA HARROLD
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Credential |
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Telephone | 229-439-7170
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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 | 047-015
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License Number State | GA
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