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General NPI Number Information
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NPI Number | 1235177718
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Entity Type | Organization
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Legal Business Name | CANCER & TRANSPLANT CONSULTANTS PLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 2021 MONROE ST STE 203
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City | DEARBORN
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State | MI
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Zip | 48124-2926
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Country | US
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Telephone | 313-388-6299
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Fax | 313-388-6328
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Provider Business Mailing Address
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Address Line | 7105 ALLEN RD
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City | ALLEN PARK
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State | MI
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Zip | 48101-2009
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Country | US
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Telephone | 313-388-6299
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Fax | 313-388-6328
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. FEROZE A MOMIN
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Credential | MD
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Telephone | 313-388-6299
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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 | 4301051771
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License Number State | MI
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