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General NPI Number Information
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NPI Number | 1114914694
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Entity Type | Organization
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Legal Business Name | HOPE COMMUNITY CANCER CENTER, LLC
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 210 S. SHORE RD. STE 102-106
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City | MARMORA
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State | NJ
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Zip | 08223-1271
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Country | US
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Telephone | 609-390-7888
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Fax | 609-390-2614
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Provider Business Mailing Address
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Address Line | 210 S. SHORE RD. STE 102-106
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City | MARMORA
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State | NJ
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Zip | 08223-1271
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Country | US
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Telephone | 609-390-7888
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Fax | 609-390-2614
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | RICHARD VERNOUSKI
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Credential |
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Telephone | 609-390-7888
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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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