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General NPI Number Information
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NPI Number | 1730292228
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY AND ONCOLOGY ASSOCIATES OF ALABAMA, LLC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 705 GOODYEAR AVE
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City | GADSDEN
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State | AL
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Zip | 35903-1156
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Country | US
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Telephone | 256-492-0375
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Fax | 256-492-9811
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Provider Business Mailing Address
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Address Line | PO BOX 131329
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City | BIRMINGHAM
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State | AL
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Zip | 35213-6329
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Country | US
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Telephone | 205-271-8541
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Fax | 205-271-8555
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELQUIS M. CASTILLO
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Credential | MD
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Telephone | 205-271-8541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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