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General NPI Number Information
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NPI Number | 1467717900
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Entity Type | Organization
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Legal Business Name | FLORENCE PATHOLOGY SERVICES LLC
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 1701 VETERANS DR
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City | FLORENCE
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State | AL
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Zip | 35630-4928
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Country | US
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Telephone | 256-629-1825
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1179
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City | FLORENCE
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State | AL
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Zip | 35631-1179
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Country | US
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Telephone | 256-768-8340
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Fax | 256-768-9693
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. STEVEN DOUGLAS WHITE
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Credential | MD
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Telephone | 256-629-1825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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