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General NPI Number Information
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NPI Number | 1306828678
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN MEDICAL ONCOLOGY CENTER
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 203 COX BLVD
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City | GOLDSBORO
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State | NC
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Zip | 27534
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Country | US
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Telephone | 919-580-0000
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Fax | 919-580-0209
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Provider Business Mailing Address
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Address Line | 203 COX BLVD
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City | GOLDSBORO
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State | NC
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Zip | 27534-9479
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Country | US
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Telephone | 919-580-0000
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Fax | 919-580-0209
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TERESA W HOYT
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Credential |
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Telephone | 919-587-9040
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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 |
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License Number State |
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