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General NPI Number Information
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NPI Number | 1326155789
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Entity Type | Organization
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Legal Business Name | FAULKNER PATHOLOGISTS, P.C.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1153 CENTRE ST FAULKNER HOSPITAL
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-3446
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Country | US
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Telephone | 617-983-7663
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Fax |
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Provider Business Mailing Address
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Address Line | 1153 CENTRE ST FAULKNER HOSPITAL
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-3446
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Country | US
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Telephone | 617-983-7663
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN M POCHEBIT
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Credential |
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Telephone | 617-983-7663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number |
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License Number State |
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