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General NPI Number Information
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NPI Number | 1235313198
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Entity Type | Organization
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Legal Business Name | HOPE CANCER CENTER PLLC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 44200 WOODWARD AVENUE SUITE 210
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City | PONTIAC
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State | MI
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Zip | 48341
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Country | US
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Telephone | 248-335-3930
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Fax | 248-335-3933
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Provider Business Mailing Address
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Address Line | 44200 WOODWARD AVENUE SUITE 210
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City | PONTIAC
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State | MI
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Zip | 48341
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Country | US
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Telephone | 248-335-3930
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Fax | 248-335-3933
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAA OWAINATI
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Credential | MD
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Telephone | 248-335-3930
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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 | AO066999
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License Number State | MI
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