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General NPI Number Information
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NPI Number | 1265430136
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Entity Type | Organization
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Legal Business Name | ONCOLOGY PHYSICIANS PA
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 3253 N MCMULLEN BOOTH RD SUITE 100
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City | CLEARWATER
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State | FL
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Zip | 33761-2043
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Country | US
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Telephone | 727-725-8102
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Fax | 727-796-7009
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Provider Business Mailing Address
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Address Line | 3253 N MCMULLEN BOOTH RD STE 100
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City | CLEARWATER
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State | FL
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Zip | 33761-2043
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Country | US
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Telephone | 727-725-8102
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Fax | 727-796-7009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES ATHAN BROOKS
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Credential | MD
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Telephone | 727-725-8102
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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 | ME34925
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License Number State | FL
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