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General NPI Number Information
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NPI Number | 1215096870
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Entity Type | Organization
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Legal Business Name | LIMESTONE LABORATORY PATHOLOGY CONSULTANTS, LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 1600 23RD ST
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City | BEDFORD
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State | IN
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Zip | 47421-4704
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Country | US
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Telephone | 812-276-1253
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Fax | 812-276-1026
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | BEDFORD
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State | IN
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Zip | 47421-0214
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Country | US
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Telephone | 812-276-1253
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Fax | 812-276-1026
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. STEVEN MERLE BARLOW
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Credential | M.D.
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Telephone | 812-276-1253
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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 | 01026190
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License Number State | IN
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