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General NPI Number Information
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NPI Number | 1003924804
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Entity Type | Organization
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Legal Business Name | MEHDI AHMADI MURRAY ONCOLOGY ASSOCIATES
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 204 S 9TH ST SUITE A
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City | MURRAY
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State | KY
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Zip | 42071-2409
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Country | US
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Telephone | 270-759-4199
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9150
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City | PADUCAH
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State | KY
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Zip | 42002-9150
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Country | US
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Telephone | 270-744-9600
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Fax | 270-744-8642
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Authorized Official
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Title or Position | DOCTOR/BUSINESS OWNER
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Name | MEHDI JOON AHMADI
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Credential | M.D.
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Telephone | 270-759-4199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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