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NPI 1861059222

NPI 1861059222 : VERDI ONCOLOGY TEXAS, PA : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1861059222
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    Entity Type          |    Organization 
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    Legal Business Name  |    VERDI ONCOLOGY TEXAS, PA 
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Dates
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    Enumeration Date     |    05/21/2019
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    Last Update Date     |    03/14/2022
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Provider Practice Location Address
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    Address Line         |    7777 FOREST LN STE B242 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75230-2525
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    Country              |    US
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    Telephone            |    615-270-1034
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    Fax                  |    615-747-7039
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Provider Business Mailing Address
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    Address Line         |    5409 MARYLAND WAY STE 333 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-1057
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    Country              |    US
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    Telephone            |    615-309-2636
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    Fax                  |    615-309-2536
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MARK WESTON CHAPMAN 
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    Credential           |    
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    Telephone            |    603-252-7340
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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       |    
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    License Number State |    
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