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General NPI Number Information
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NPI Number | 1952386245
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Entity Type | Organization
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Legal Business Name | ATLANTIC PATHOLOGY, PA
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 333 BORTHWICK AVE
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7128
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Country | US
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Telephone | 603-433-4907
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Fax | 603-499-4910
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Provider Business Mailing Address
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Address Line | PO BOX 1849
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City | LEWISTON
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State | ME
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Zip | 04241-1948
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Country | US
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Telephone | 207-784-2554
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Fax | 207-777-1439
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Authorized Official
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Title or Position | PRESIDENT
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Name | SONYA M SCHWAEGERLE
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Credential | MD
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Telephone | 603-433-4907
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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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