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General NPI Number Information
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NPI Number | 1427011907
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Entity Type | Organization
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Legal Business Name | PATHOLOGY SERVICES PA
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 5650 SW 29TH STREET
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City | TOPEKA
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State | KS
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Zip | 66614-2443
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Country | US
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Telephone | 785-272-4783
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Fax | 785-272-4783
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Provider Business Mailing Address
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Address Line | 5650 SW 29TH STREET
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City | TOPEKA
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State | KS
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Zip | 66614-2443
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Country | US
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Telephone | 785-272-4783
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Fax | 785-272-4783
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Authorized Official
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Title or Position | PRESIDENT MEDICAL DIRECTOR
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Name | DR. DAVID M BOREL
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Credential | MD
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Telephone | 785-272-4783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 0415028
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 0415028
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 0415028
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License Number State | KS
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