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General NPI Number Information
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NPI Number | 1174636658
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Entity Type | Organization
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Legal Business Name | ROCKFORD ASSOCIATED PATHOLOGISTS LTD
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1401 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2315
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Country | US
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Telephone | 630-581-6523
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Fax | 815-395-3967
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Provider Business Mailing Address
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Address Line | 3010 HIGHLAND PKWY STE 325
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5670
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Country | US
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Telephone | 630-581-6523
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Fax | 630-645-6402
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Authorized Official
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Title or Position | PRESIDENT
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Name | SARA FLEMING
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Credential | MD
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Telephone | 630-472-8800
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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 | 36063669
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License Number State | IL
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