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General NPI Number Information
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NPI Number | 1851455646
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Entity Type | Organization
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Legal Business Name | PATHOLOGY MEDICAL SERVICES PC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 5440 SOUTH ST SUITE 200
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City | LINCOLN
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State | NE
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Zip | 68506-2192
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Country | US
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Telephone | 402-465-1900
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Fax | 402-465-1940
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Provider Business Mailing Address
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Address Line | PO BOX 82653
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City | LINCOLN
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State | NE
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Zip | 68501-2653
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Country | US
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Telephone | 402-465-1900
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Fax | 402-465-1940
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PAMELA RUST
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Credential |
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Telephone | 402-465-1957
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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 |
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License Number State |
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Taxonomy #2
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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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