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General NPI Number Information
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NPI Number | 1710176367
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Entity Type | Organization
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Legal Business Name | PATHOLOGY SERVICES, P.C.
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1931 W A ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4577
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Country | US
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Telephone | 308-534-5244
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Fax | 308-534-8718
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | NORTH PLATTE
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State | NE
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Zip | 69103-1289
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Country | US
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Telephone | 308-534-5244
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Fax | 308-534-0758
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Authorized Official
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Title or Position | LABORATORY MANAGER
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Name | DIANNA J BROUILLETTE
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Credential |
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Telephone | 308-532-4700
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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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