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General NPI Number Information
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NPI Number | 1922455518
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Entity Type | Organization
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Legal Business Name | CAROLINA ONCOLOGY SPECIALISTS, PA
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 2406 CENTURY PLACE
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City | HICKORY
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State | NC
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Zip | 28603
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Country | US
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Telephone | 828-324-9550
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Fax | 828-324-4154
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Provider Business Mailing Address
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Address Line | 2406 CENTURY PLACE
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City | HICKORY
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State | NC
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Zip | 28603
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Country | US
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Telephone | 828-324-9550
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Fax | 828-324-4154
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Authorized Official
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Title or Position | CEO
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Name | MRS. CAROL B KAMMER
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Credential |
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Telephone | 828-324-9550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 40721
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License Number State | NC
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