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General NPI Number Information
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NPI Number | 1255465589
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Entity Type | Organization
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Legal Business Name | DOUGLAS HEMATOLOGY ONCOLOGY ASSOCIATES
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 DOCTORS DR STE 102
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City | DOUGLAS
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State | GA
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Zip | 31533-2202
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Country | US
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Telephone | 912-383-5682
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Fax | 912-383-5675
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Provider Business Mailing Address
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Address Line | PO BOX 3106
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City | VALDOSTA
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State | GA
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Zip | 31604-3106
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Country | US
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Telephone | 229-247-5275
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Fax | 229-247-5275
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY M HOY
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Credential | MD
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Telephone | 229-259-4617
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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 | 037838
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License Number State | GA
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