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General NPI Number Information
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NPI Number | 1518903269
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Entity Type | Organization
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Legal Business Name | DANVILLE HEMATOLOGY & ONCOLOGY, INC.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 125 EXECUTIVE DR SUITE J
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City | DANVILLE
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State | VA
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Zip | 24541-4155
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Country | US
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Telephone | 434-793-0044
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Fax | 434-792-8864
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Provider Business Mailing Address
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Address Line | 125 EXECUTIVE DR SUITE J
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City | DANVILLE
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State | VA
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Zip | 24541-4155
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Country | US
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Telephone | 434-793-0044
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Fax | 434-792-8864
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY W. BROTHERTON
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Credential | M.D.
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Telephone | 434-793-0044
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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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