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General NPI Number Information
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NPI Number | 1235431248
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE CANCER & INFUSION CENTER LLC
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 3500 OLD WASHINGTON RD STE 102
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City | WALDORF
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State | MD
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Zip | 20602-3224
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Country | US
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Telephone | 301-645-4242
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Fax | 301-705-7512
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Provider Business Mailing Address
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Address Line | PO BOX 2729
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City | LAPLATA
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State | MD
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Zip | 20646-2729
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Country | US
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Telephone | 301-645-4242
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Fax | 301-705-7512
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Authorized Official
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Title or Position | MEMBER
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Name | KRISHAN MATHUR
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Credential | MD
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Telephone | 301-645-4242
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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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