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General NPI Number Information
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NPI Number | 1063744472
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY ONCOLOGY ASSOCIATES P.A.
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 4310 S MULBERRY ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7030
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Country | US
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Telephone | 870-534-1188
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Fax | 870-534-0188
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Provider Business Mailing Address
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Address Line | 4310 S MULBERRY ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7030
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Country | US
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Telephone | 870-534-1188
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Fax | 870-534-0188
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ASIF MASOOD
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Credential | M.D.
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Telephone | 870-534-1188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E4024
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License Number State | AR
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