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General NPI Number Information
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NPI Number | 1699139915
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Entity Type | Organization
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Legal Business Name | CUTANEOUS ONCOLOGY & SURGERY CENTER, LLC
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 1940 STONEGATE DR STE 140
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City | VESTAVIA HLS
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State | AL
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Zip | 35242-2541
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Country | US
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Telephone | 205-968-3919
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Fax | 205-968-3918
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Provider Business Mailing Address
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Address Line | 1940 STONEGATE DR STE 140
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City | VESTAVIA HLS
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State | AL
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Zip | 35242-2541
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Country | US
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Telephone | 205-968-3919
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Fax | 205-968-3918
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER HARMON
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Credential | MD
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Telephone | 205-977-9876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | AL
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