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General NPI Number Information
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NPI Number | 1770889891
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PATHOLOGY ASSOCIATES, PLC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3050 BERKMAR DR STE A
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-3405
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Country | US
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Telephone | 434-244-0162
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Fax | 434-244-0153
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Provider Business Mailing Address
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Address Line | 3050 BERKMAR DR STE A
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-3405
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Country | US
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Telephone | 434-244-0162
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Fax | 434-244-0153
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Authorized Official
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Title or Position | MEMBER
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Name | DR. DAVID MARK ROWE
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Credential | M.D.
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Telephone | 434-244-0162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 30-F-001
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License Number State | VA
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