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General NPI Number Information
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NPI Number | 1215012570
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Entity Type | Organization
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Legal Business Name | TEXAS HEMATOLOGY/ONCOLOGY CENTER, PA
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4352 NORTH JOSEY LANE
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City | CARROLLTON
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State | TX
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Zip | 75010
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Country | US
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Telephone | 972-395-1010
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Fax | 972-394-5780
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Provider Business Mailing Address
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Address Line | 10 MEDICAL PKWY SUITE#106
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City | DALLAS
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State | TX
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Zip | 75234-7840
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Country | US
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Telephone | 972-247-5510
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Fax | 972-243-9178
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DENNIS H BIRENBAUM
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Credential | MD
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Telephone | 972-247-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 24457
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License Number State | TX
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