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General NPI Number Information
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NPI Number | 1215940895
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Entity Type | Organization
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Legal Business Name | ONCOLOGY & HEMATOLOGY ASSOC INC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 6845 RAMA DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-1707
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Country | US
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Telephone | 317-964-5267
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Fax | 317-964-5391
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Provider Business Mailing Address
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Address Line | 6845 RAMA DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-1707
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Country | US
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Telephone | 317-964-5267
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Fax | 317-964-5391
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Authorized Official
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Title or Position | PRESIDENT CTRL IN CANCER CTRS
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Name | ANDREW GREENSPAN
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Credential | MD
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Telephone | 317-964-5200
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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 | 60005762A
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License Number State | IN
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