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General NPI Number Information
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NPI Number | 1356783443
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Entity Type | Organization
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Legal Business Name | AMERIPATH SC, INC.
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 272 W COLEMAN BLVD
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-3463
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Country | US
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Telephone | 843-388-6911
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Fax | 843-388-6917
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Provider Business Mailing Address
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Address Line | 272 W COLEMAN BLVD
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-3463
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Country | US
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Telephone | 843-388-6911
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Fax | 843-388-6917
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. E MICHAEL KRAMER
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Credential | MD
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Telephone | 610-550-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 42D1015001
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License Number State | SC
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