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General NPI Number Information
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NPI Number | 1073660122
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Entity Type | Organization
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Legal Business Name | CENTER FOR CANCER AND BLOOD DISORDERS
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 6410 ROCKLEDGE DR STE 660
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City | BETHESDA
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State | MD
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Zip | 20817-1809
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Country | US
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Telephone | 301-571-0019
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Fax | 240-482-0555
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Provider Business Mailing Address
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Address Line | 6410 ROCKLEDGE DR SUITE 660
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City | BETHESDA
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State | MD
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Zip | 20817-1809
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Country | US
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Telephone | 301-571-0019
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Fax | 240-482-0555
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MS. CARREEN HUFFMAN
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Credential |
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Telephone | 301-571-0019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | D0029675
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License Number State | MD
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