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General NPI Number Information
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NPI Number | 1275650434
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Entity Type | Organization
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Legal Business Name | CANCER CARE CENTER OF HENRY COUNTY, LLC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 1290 KELLEY DR
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City | PARIS
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State | TN
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Zip | 38242-4745
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Country | US
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Telephone | 731-644-3522
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Fax | 731-644-2806
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Provider Business Mailing Address
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Address Line | 322 HOSPITAL BLVD
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City | JACKSON
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State | TN
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Zip | 38305-2079
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Country | US
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Telephone | 731-668-1668
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Fax | 731-668-5801
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Authorized Official
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Title or Position | CFO
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Name | ROBIN CAIN HARDIN
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Credential |
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Telephone | 731-668-1668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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