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General NPI Number Information
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NPI Number | 1053015008
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Entity Type | Organization
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Legal Business Name | SAGE HEMATOLOGY AND ONCOLOGY PLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 13943 N 91ST AVE STE 101
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City | PEORIA
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State | AZ
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Zip | 85381-3629
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Country | US
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Telephone | 623-254-7271
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Fax | 888-388-1953
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Provider Business Mailing Address
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Address Line | 13943 N 91ST AVE STE 101
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City | PEORIA
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State | AZ
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Zip | 85381-3629
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AIDA GOLNAZARIAN
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Credential |
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Telephone | 623-254-7271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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