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General NPI Number Information
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NPI Number | 1518921733
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Entity Type | Organization
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Legal Business Name | BAPTIST CANCER CENTER
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 3500 HIGHWAY 78 E
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City | JASPER
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State | AL
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Zip | 35501-8908
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Country | US
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Telephone | 205-387-0333
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Fax | 205-387-9604
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Provider Business Mailing Address
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Address Line | PO BOX 13128
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City | BIRMINGHAM
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State | AL
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Zip | 35202-3128
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Country | US
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Telephone | 205-715-5904
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Fax | 205-715-5928
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Authorized Official
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Title or Position | CHIEF INTEGRATION OFFICER
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Name | G. SCOTT FENN
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Credential |
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Telephone | 205-715-5415
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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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