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General NPI Number Information
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NPI Number | 1932188661
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Entity Type | Organization
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Legal Business Name | LEBANON PATHOLOGY ASSOCIATES
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 4TH AND WALNUT ST
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City | LEBANON
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State | PA
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Zip | 17042
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Country | US
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Telephone | 610-568-1380
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MERIDIAN BLVD 2ND FLOOR
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City | WYOMISSING
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State | PA
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Zip | 19610-3202
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Country | US
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Telephone | 610-568-1380
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Fax | 610-372-3735
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENDALL ZINSSER
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Credential | MD
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Telephone | 610-568-1380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State | PA
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