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General NPI Number Information
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NPI Number | 1114026283
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Entity Type | Organization
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Legal Business Name | CLARKE AND COMPANY PATHOLOGY INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 1000 BOWER HILL ROAD
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 800-288-8325
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Fax | 419-866-5453
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Provider Business Mailing Address
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Address Line | 5700 SOUTHWYCK BLVD
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City | TOLEDO
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State | OH
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Zip | 43614-1509
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Country | US
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Telephone | 800-288-8325
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Fax | 419-866-5453
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTHA R CLARKE
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Credential | MD
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Telephone | 412-942-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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