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General NPI Number Information
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NPI Number | 1346211323
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Entity Type | Organization
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Legal Business Name | HIGHLANDS ONCOLOGY GROUP PA
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 3901 PARKWAY CIR
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City | SPRINGDALE
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State | AR
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Zip | 72762-6362
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Country | US
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Telephone | 479-587-1700
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Fax | 479-587-1366
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Provider Business Mailing Address
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Address Line | 3901 PARKWAY CIR
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City | SPRINGDALE
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State | AR
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Zip | 72762-6362
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Country | US
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Telephone | 479-587-1700
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Fax | 479-587-1366
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | TERESA NAGY
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Credential |
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Telephone | 479-313-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | E-6436
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ARK-014-ACC-08-08
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MC-1660
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License Number State | AR
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