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General NPI Number Information
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NPI Number | 1023129822
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Entity Type | Organization
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Legal Business Name | ONCOLOGY HEMATOLOGY CONSULTANTS OF SOUTHEASTERN OHIO, INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 751 FOREST AVENUE SUITE 201
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City | ZANESVILLE
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State | OH
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Zip | 43701-2875
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Country | US
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Telephone | 740-455-8506
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Fax | 740-455-8509
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Provider Business Mailing Address
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Address Line | 751 FOREST AVENUE SUITE 201
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City | ZANESVILLE
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State | OH
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Zip | 43701-2875
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Country | US
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Telephone | 740-455-8506
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Fax | 740-455-8509
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Authorized Official
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Title or Position | PRESIDENT
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Name | UTPAL K BHANJA
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Credential | MD
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Telephone | 740-455-8506
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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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