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General NPI Number Information
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NPI Number | 1639295538
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Entity Type | Organization
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Legal Business Name | METRO HEMATOLOGY-ONCOLOGY, PC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 777 CLEVELAND AVE SW SUITE 204
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City | ATLANTA
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State | GA
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Zip | 30315-7129
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Country | US
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Telephone | 404-892-5950
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Fax | 404-669-9764
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Provider Business Mailing Address
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Address Line | 777 CLEVELAND AVE SW SUITE 204
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City | ATLANTA
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State | GA
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Zip | 30315-7129
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Country | US
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Telephone | 404-892-5950
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Fax | 404-669-9764
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS CALDWELL COLLINS
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Credential | M.D.
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Telephone | 404-892-5950
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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 | 020092
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License Number State | GA
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