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General NPI Number Information
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NPI Number | 1033243563
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Entity Type | Organization
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Legal Business Name | CAROLINA ONCOLOGY ASSOCIATES
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 825 W HENDERSON ST
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City | SALISBURY
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State | NC
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Zip | 28144-2725
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Country | US
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Telephone | 704-636-5542
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Fax | 704-636-5142
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Provider Business Mailing Address
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Address Line | 825 W HENDERSON ST
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City | SALISBURY
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State | NC
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Zip | 28144-2725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM BRINKLEY
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Credential | MD
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Telephone | 704-636-5542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 19313
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License Number State | NC
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