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General NPI Number Information
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NPI Number | 1639139538
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Entity Type | Organization
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Legal Business Name | S. GOLDBLATT PATHOLOGY ASSOCIATES
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1086 FRANKLIN ST PATHOLOGY RM 205B
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4305
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Country | US
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Telephone | 814-534-9812
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Fax | 814-534-9372
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Provider Business Mailing Address
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Address Line | 1086 FRANKLIN ST PATHOLOGY RM 205B
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4305
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Country | US
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Telephone | 814-534-9812
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Fax | 814-534-9372
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. SIDNEY A. GOLDBLATT
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Credential | MD
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Telephone | 814-534-9823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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