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General NPI Number Information
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NPI Number | 1063600146
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Entity Type | Organization
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Legal Business Name | BROWARD GENERAL ONCOLOGY ASSOCIATES
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Dates
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Enumeration Date | 10/14/2007
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Last Update Date | 10/14/2007
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Provider Practice Location Address
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Address Line | 8386 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33351-7372
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Country | US
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Telephone | 954-741-7577
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Fax | 954-741-9440
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Provider Business Mailing Address
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Address Line | 8386 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33351-7372
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Country | US
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Telephone | 954-741-7577
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Fax | 954-741-9440
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Authorized Official
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Title or Position | TREASURER
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Name | DR. WILLIAM C EARLY
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Credential | MD
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Telephone | 954-741-7577
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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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