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General NPI Number Information
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NPI Number | 1780728238
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Entity Type | Individual
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Provider Name | MARY SUSAN OLNEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1240 HUFFMAN MILL RD ALAMANCE REGIONAL MEDICAL CENTER LABORATORY
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-7831
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Fax | 336-538-6585
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Provider Business Mailing Address
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Address Line | 115 BLACKCHERRY LN
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1613
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Country | US
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Telephone | 336-538-7831
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 30692
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License Number State | NC
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