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General NPI Number Information
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NPI Number | 1073929402
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Entity Type | Organization
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Legal Business Name | BETHEL BLOOD AND CANCER CENTER, P.A.
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 3256 S PINE AVE STE 303
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City | OCALA
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State | FL
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Zip | 34471-6605
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Country | US
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Telephone | 352-512-0688
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Fax | 352-622-8812
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Provider Business Mailing Address
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Address Line | 3256 S PINE AVE STE 303
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City | OCALA
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State | FL
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Zip | 34471-6605
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Country | US
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Telephone | 352-512-0688
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Fax | 352-622-8812
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL A PATTERSON
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Credential | MD, PHD, MRCP, FACP
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Telephone | 407-790-0993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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