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General NPI Number Information
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NPI Number | 1700189644
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Entity Type | Organization
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Legal Business Name | EAST ALABAMA PATHOLOGISTS, LLC
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 503 E THOMASON CIR
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City | OPELIKA
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State | AL
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Zip | 36801-5431
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Country | US
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Telephone | 334-749-8234
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Fax |
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Provider Business Mailing Address
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Address Line | 503 E THOMASON CIR
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City | OPELIKA
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State | AL
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Zip | 36801-5431
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KATRIN KLEMM
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Credential | M.D.
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Telephone | 334-528-6968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State |
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