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General NPI Number Information
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NPI Number | 1740337286
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Entity Type | Organization
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Legal Business Name | PATHOLOGY ASSOCIATES OF LOWELL, P.C.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 295 VARNUM AVENUE
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City | LOWELL
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State | MA
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Zip | 01854-2134
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Country | US
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Telephone | 978-937-6341
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Fax | 978-937-6085
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Provider Business Mailing Address
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Address Line | 5700 SOUTHWYCK BLVD
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City | TOLEDO
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State | OH
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Zip | 43614-1509
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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 | AUTHORIZED OFFICIAL
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Name | LIJA JOSEPH
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Credential | MD
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Telephone | 978-937-6341
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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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