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General NPI Number Information
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NPI Number | 1851344436
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Entity Type | Organization
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Legal Business Name | GREENVILLE PATHOLOGY, PA
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 2515 BOWMAN GRAY DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7215
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Country | US
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Telephone | 252-561-7992
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Fax | 252-752-2016
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Provider Business Mailing Address
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Address Line | 2515 BOWMAN GRAY DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7215
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Country | US
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Telephone | 252-561-7992
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Fax | 252-752-2016
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. EMILY AINSLEY
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Credential |
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Telephone | 252-561-7992
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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 | 34D0872845
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License Number State | NC
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