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General NPI Number Information
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NPI Number | 1952680308
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Entity Type | Organization
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Legal Business Name | DANVILLE PATHOLOGISTS, INC
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 212 S MAIN ST SUITE 4
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City | DANVILLE
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State | VA
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Zip | 24541-2943
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Country | US
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Telephone | 434-799-8398
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Fax | 434-799-1415
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Provider Business Mailing Address
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Address Line | 212 S MAIN ST SUITE 4
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City | DANVILLE
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State | VA
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Zip | 24541-2943
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Country | US
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Telephone | 434-799-8398
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Fax | 434-799-1415
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS J HARDY
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Credential | M.D.
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Telephone | 434-799-3807
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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 | 0101055196
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 0101030846
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 0101017703
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 0101017161
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License Number State | VA
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