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General NPI Number Information
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NPI Number | 1922307131
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Entity Type | Organization
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Legal Business Name | DANVILLE PATHOLOGIST BILLING COMPANY LLC
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 142 S MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541-2922
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Country | US
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Telephone | 434-799-2100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3789
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City | MARTINSVILLE
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State | VA
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Zip | 24115-3789
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS J HARDY
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Credential | MD
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Telephone | 434-799-8398
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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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