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General NPI Number Information
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NPI Number | 1457618894
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Entity Type | Organization
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Legal Business Name | SCOTT AND WHITE
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 2401 S 31ST ST DEPARTMENT OF PATHOLOGY
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City | TEMPLE
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State | TX
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Zip | 76508-0001
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Country | US
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Telephone | 254-724-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 S 31ST ST DEPARTMENT OF PATHOLOGY
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City | TEMPLE
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State | TX
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Zip | 76508-0001
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Country | US
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Telephone | 254-724-2111
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Fax |
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Authorized Official
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Title or Position | CYTOPATHOLOGIST
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Name | DR. LUBNA SAYAGE
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Credential | MD
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Telephone | 254-724-3691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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