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General NPI Number Information
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NPI Number | 1245181429
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Entity Type | Organization
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Legal Business Name | ATLAS ONCOLOGY PROVIDER PLLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 120 19TH ST N STE 290
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City | BIRMINGHAM
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State | AL
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Zip | 35203-3232
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Country | US
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Telephone | 203-461-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 120 19TH ST N STE 290
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City | BIRMINGHAM
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State | AL
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Zip | 35203-3232
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Country | US
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Telephone | 203-461-1446
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID JOHNSON
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Credential |
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Telephone | 919-604-0123
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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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