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General NPI Number Information
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NPI Number | 1083677413
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Entity Type | Individual
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Provider Name | EDGAR FRIEDRICH PRASTHOFER MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1410 MCFARLAND BLVD N
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2459
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Country | US
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Telephone | 205-345-8208
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Fax | 205-345-8209
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Provider Business Mailing Address
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Address Line | 509 ENERGY CENTER BLVD STE 804
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City | NORTHPORT
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State | AL
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Zip | 35473-2798
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Country | US
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Telephone | 205-366-9740
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 42668
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 35132100
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 9511470-1205
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 9511470-1205
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD.9260
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License Number State | AL
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