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General NPI Number Information
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NPI Number | 1366566077
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTHWEST FLORIDA LLP
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 1632 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5316
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Country | US
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Telephone | 850-877-8166
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Fax |
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Provider Business Mailing Address
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Address Line | 1632 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5316
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Country | US
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Telephone | 850-877-8166
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. R. JAMES MABRY
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Credential | MD
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Telephone | 850-877-8166
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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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