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General NPI Number Information
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NPI Number | 1740429398
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Entity Type | Organization
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Legal Business Name | CHARLESTON HEMATOLOGY ONCOLOGY ASSOCIATES
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 125 DOUGHTY ST SUITE 280
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City | CHARLESTON
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State | SC
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Zip | 29403-5736
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Country | US
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Telephone | 843-577-6957
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Fax | 843-723-3324
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Provider Business Mailing Address
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Address Line | 125 DOUGHTY ST SUITE 280
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City | CHARLESTON
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State | SC
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Zip | 29403-5736
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Country | US
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Telephone | 843-577-6957
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE FREDERICK GEILS SR.
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Credential | MD
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Telephone | 843-577-6957
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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 | TL1399
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License Number State | SC
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