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General NPI Number Information
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NPI Number | 1700907276
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Entity Type | Individual
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Provider Name | BRADLEY CURTIS CARTHON MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 1365B CLIFTON RD NE STE B4300 WINSHIP CANCER INSTITUTE OF EMORY UNIVERSITY
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-0605
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Fax |
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Provider Business Mailing Address
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Address Line | 1365B CLIFTON RD NE STE B4300 WINSHIP CANCER INSTITUTE OF EMORY UNIVERSITY
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | M9911
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M9911
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 66462
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License Number State | GA
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