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General NPI Number Information
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NPI Number | 1306808969
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Entity Type | Organization
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Legal Business Name | CLINTON AREA PATHOLOGY SERVICES
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 607 BEAMAN ST
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City | CLINTON
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State | NC
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Zip | 28328-2603
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Country | US
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Telephone | 910-592-8511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20169
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City | ROANOKE
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State | VA
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Zip | 24018-0506
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FALVY CARL BARR JR.
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Credential | MD
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Telephone | 540-776-9415
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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 | 23358
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License Number State | NC
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