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General NPI Number Information
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NPI Number | 1205126430
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Entity Type | Organization
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Legal Business Name | PREMIER HEMATOLOGY ONCOLOGY CARE INC
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 8244 METRO PKWY SUITE A
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-2778
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Country | US
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Telephone | 586-795-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 8244 METRO PKWY SUITE A
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-2778
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Country | US
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Telephone | 586-795-4060
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN PRESIDENT
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Name | SAVITHA KADAKOL
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Credential | MD
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Telephone | 586-795-4060
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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 | 4301091736
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License Number State | MI
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