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General NPI Number Information
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NPI Number | 1578547055
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Entity Type | Organization
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Legal Business Name | SURGICAL PATHOLOGY SERVICES, INC
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 5100 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43228-1607
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Country | US
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Telephone | 614-297-4000
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT L2587 PO BOX 600001
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City | COLUMBUS
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State | OH
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Zip | 43260-0001
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Country | US
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Telephone | 800-288-8325
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Fax | 419-866-5453
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUTH L. ANKER
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Credential | D.O.
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Telephone | 614-297-4000
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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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