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General NPI Number Information
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NPI Number | 1982778239
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Entity Type | Organization
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Legal Business Name | REGIONAL ONCOLOGY, LLC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 1831 5TH AVE
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City | COLUMBUS
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State | GA
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Zip | 31904-8915
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Country | US
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Telephone | 706-320-8720
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 590
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City | COLUMBUS
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State | GA
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Zip | 31902-0590
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Country | US
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Telephone | 706-320-8720
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Fax |
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Authorized Official
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Title or Position | GROUP PRACTICE MANAGER
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Name | JANET BOHREN
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Credential |
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Telephone | 706-320-8780
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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 | GA
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