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General NPI Number Information
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NPI Number | 1558385161
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Entity Type | Organization
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Legal Business Name | SPEARS PATHOLOGY LAB
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 12329 BRADSHAW ST SPEARS PATHOLOGY LAB
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City | OVERLAND PARK
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State | KS
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Zip | 66213-4934
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Country | US
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Telephone | 620-343-3777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 163584 SPEARS PATHOLOGY LAB
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City | AUSTIN
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State | TX
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Zip | 78716-3584
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Country | US
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Telephone | 620-343-3777
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Fax |
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Authorized Official
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Title or Position | HR DIRECTOR
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Name | BIRGIT JAMES
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Credential |
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Telephone | 512-238-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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