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General NPI Number Information
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NPI Number | 1245316066
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Entity Type | Organization
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Legal Business Name | OSU PATHOLOGY SERVICES, LLC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 1341 CLARK ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9614
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Country | US
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Telephone | 740-435-2130
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Fax |
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Provider Business Mailing Address
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Address Line | 1341 CLARK ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9614
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Country | US
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Telephone | 740-435-2130
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Fax |
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Authorized Official
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Title or Position | FINANCE MANAGER
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Name | RACHAEL LAWTON
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Credential |
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Telephone | 614-685-9763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State | OH
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