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General NPI Number Information
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NPI Number | 1255303558
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Entity Type | Individual
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Provider Name | MARY E CONTI M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 1400 HAL GREER BLVD
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City | HUNTINGTON
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State | WV
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Zip | 25701-4114
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Country | US
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Telephone | 304-399-6501
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Fax | 304-399-6528
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Provider Business Mailing Address
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Address Line | 1400 HAL GREER BLVD
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City | HUNTINGTON
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State | WV
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Zip | 25701-4114
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Country | US
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Telephone | 304-399-6501
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Fax | 304-399-6528
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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 | 036050872
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | R5635
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 24166
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 24166
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License Number State | WV
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