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NPI 1114994324

NPI 1114994324 : HEMATOLOGY ONCOLOGY ASSOCIATION : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1114994324
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEMATOLOGY ONCOLOGY ASSOCIATION 
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Dates
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    Enumeration Date     |    03/07/2006
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    Last Update Date     |    05/08/2009
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Provider Practice Location Address
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    Address Line         |    5115 CENTRE AVE 3RD FLOOR
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15232-1301
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    Country              |    US
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    Telephone            |    412-235-1020
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    Fax                  |    412-235-1030
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Provider Business Mailing Address
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    Address Line         |    2 HOT METAL ST QUANTUM ONE, N430
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15203-2348
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    Country              |    US
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    Telephone            |    412-432-7706
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    Fax                  |    412-432-7691
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR/VICE PRESIDENT
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    Name                 |     JAMES G TERWILLIGER 
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    Credential           |    
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    Telephone            |    412-623-7976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    39D0176690
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    39D0881266
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    39D0902039
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    39D0179582
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    License Number State |    PA
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Taxonomy #5
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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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