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General NPI Number Information
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NPI Number | 1447579644
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Entity Type | Organization
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Legal Business Name | ALABAMA CANCER CARE, LLC
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 402 SOUTH 1ST STREET
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City | GADSDEN
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State | AL
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Zip | 35901-5202
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Country | US
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Telephone | 256-547-0536
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Fax | 256-547-8703
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Provider Business Mailing Address
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Address Line | 509 ENERGY CENTER BLVD STE 804
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City | NORTHPORT
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State | AL
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Zip | 35473-2798
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Country | US
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Telephone | 205-345-7892
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHVINI SENGAR
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Credential | MD
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Telephone | 256-547-0536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD.30196
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License Number State | AL
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