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General NPI Number Information
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NPI Number | 1336171453
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Entity Type | Organization
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Legal Business Name | PIEDMONT ONCOLOGY SPECIALISTS
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 10030 GILEAD RD SUITE 290
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7545
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Country | US
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Telephone | 704-992-2346
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Fax | 704-949-1739
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Provider Business Mailing Address
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Address Line | 101 W.T. HARRIS BLVD SUITE 5203
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City | CHARLOTTE
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State | NC
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Zip | 28262-3443
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Country | US
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Telephone | 704-593-0244
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Fax | 704-549-3094
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WILLIAM R MITCHELL
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Credential | M.D.
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Telephone | 704-593-0244
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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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