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General NPI Number Information
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NPI Number | 1023309606
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Entity Type | Organization
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Legal Business Name | CHARLESTON HEMATOLOGY ONCOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 2085 HENRY TECKLENBURG DR 2ND FLOOR
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City | CHARLESTON
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State | SC
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Zip | 29414-5733
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Country | US
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Telephone | 843-577-6957
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Fax |
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Provider Business Mailing Address
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Address Line | 2085 HENRY TECKLENBURG DR 2ND FLOOR
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City | CHARLESTON
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State | SC
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Zip | 29414-5733
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Country | US
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Telephone | 843-577-6957
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN DAX ARRINGTON
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Credential |
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Telephone | 843-577-6957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 33606
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License Number State | SC
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