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General NPI Number Information
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NPI Number | 1386669240
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Entity Type | Organization
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Legal Business Name | LOW COUNTRY CANCER CARE
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 225 CANDLER RD SUITE 201
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City | SAVANNAH
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State | GA
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Zip | 31405-6023
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Country | US
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Telephone | 912-692-2000
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Fax | 912-692-2100
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Provider Business Mailing Address
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Address Line | 225 CANDLER RD SUITE 201
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City | SAVANNAH
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State | GA
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Zip | 31405-6023
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Country | US
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Telephone | 912-692-2000
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Fax | 912-692-2100
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | LOERA MARIA RENDON DE VALLIER
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Credential |
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Telephone | 912-692-2000
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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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