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General NPI Number Information
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NPI Number | 1194839134
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Entity Type | Organization
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Legal Business Name | NW GEORGIA HEMATOLOGY & ONCOLOGY PC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 1504 N THORNTON AVE SUITE 102
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City | DALTON
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State | GA
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Zip | 30720-8394
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Country | US
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Telephone | 706-226-0508
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Fax | 706-226-5889
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Provider Business Mailing Address
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Address Line | PO BOX 2047
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City | DALTON
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State | GA
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Zip | 30722-2047
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Country | US
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Telephone | 706-226-0508
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Fax | 706-226-5889
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOSAM SAAD-NAGUIB
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Credential | MD
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Telephone | 706-226-0508
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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 |
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License Number State |
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