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General NPI Number Information
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NPI Number | 1225220197
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Entity Type | Organization
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Legal Business Name | ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN PA, PC
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 100 HOSPITAL RD
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City | BROOKVILLE
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State | PA
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Zip | 15825-1367
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Country | US
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Telephone | 814-849-1439
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 447 100 HOSPITAL AVE
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City | DU BOIS
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State | PA
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Zip | 15801-0447
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Country | US
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Telephone | 814-375-3535
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Fax | 814-372-2537
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ROSE M PETRILLO
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Credential | RN
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Telephone | 814-375-3531
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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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