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General NPI Number Information
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NPI Number | 1578755815
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Entity Type | Organization
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Legal Business Name | ONCOLOGY SPECIALTIES, PC
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 310 8TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601
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Country | US
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Telephone | 256-308-9889
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Fax | 256-308-9858
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Provider Business Mailing Address
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Address Line | 310 8TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601
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Country | US
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Telephone | 256-308-9889
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Fax | 256-308-9858
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEE HORTON
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Credential |
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Telephone | 256-705-4232
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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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