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General NPI Number Information
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NPI Number | 1386600054
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Entity Type | Organization
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Legal Business Name | MOUNTAIN AREA PATHOLOGY PA
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 509 BILTMORE AVE PATHOLOGY DEPT
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City | ASHEVILLE
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State | NC
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Zip | 28801
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Country | US
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Telephone | 828-253-0762
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Fax | 828-254-4892
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Provider Business Mailing Address
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Address Line | PO BOX 17056
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City | CHAPEL HILL
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State | NC
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Zip | 27516-7056
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Country | US
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Telephone | 866-457-5162
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Fax | 919-967-6647
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Authorized Official
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Title or Position | MD
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Name | STACEY NEAL
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Credential | MD
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Telephone | 828-253-0762
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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 |
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License Number State | NC
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