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General NPI Number Information
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NPI Number | 1386930451
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Entity Type | Organization
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Legal Business Name | KINGSLEY LANE ANATOMIC PATHOLOGY
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 2 BERNADINE DRIVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4404
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Country | US
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Telephone | 757-889-5068
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 719310
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City | PHILADELPHIA
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State | PA
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Zip | 19171-9310
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Country | US
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Telephone | 757-398-4941
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID CUMMINGS
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Credential | MD
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Telephone | 757-398-4941
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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 |
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