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General NPI Number Information
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NPI Number | 1447363114
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Entity Type | Organization
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Legal Business Name | SHENANDOAH VALLEY PATHOLOGY LABORATORIES INC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 1840 AMHERST ST
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City | WINCHESTER
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State | VA
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Zip | 22601-2808
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Country | US
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Telephone | 540-536-8790
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 AMHERST ST
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City | WINCHESTER
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State | VA
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Zip | 22601-2808
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Country | US
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Telephone | 540-536-8790
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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. STUART A MONROE
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Credential | M.D.
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Telephone | 540-536-8790
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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 | 0101038667
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License Number State | VA
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