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General NPI Number Information
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NPI Number | 1508827627
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Entity Type | Organization
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Legal Business Name | SUMMIT PATHOLOGY ASSOCIATES INC
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 195 WADSWORTH RD
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City | WADSWORTH
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State | OH
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Zip | 44281-9504
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Country | US
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Telephone | 330-375-3786
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Fax |
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Provider Business Mailing Address
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Address Line | 30701 LORAIN RD STE A
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-6325
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Country | US
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Telephone | 440-274-5000
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Fax | 440-716-8608
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM A HENTHORNE
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Credential | MD
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Telephone | 330-375-3786
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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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