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General NPI Number Information
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NPI Number | 1689634818
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Entity Type | Organization
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Legal Business Name | BOYCE & BYNUM PATHOLOGY PROFESSIONAL SERVICES INC
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 300 PORTLAND ST STE 110
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City | COLUMBIA
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State | MO
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Zip | 65201-7390
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Country | US
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Telephone | 573-886-4600
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Fax | 573-886-4695
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Provider Business Mailing Address
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Address Line | PO BOX 7406
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City | COLUMBIA
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State | MO
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Zip | 65205-7406
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Country | US
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Telephone | 573-886-4600
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Fax | 573-886-4695
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MICHAEL D CURRY
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Credential | MD, PHD
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Telephone | 573-886-4600
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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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