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General NPI Number Information
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NPI Number | 1235833005
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 8905 S PECOS RD STE 23A
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City | HENDERSON
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State | NV
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Zip | 89074-7148
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Country | US
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Telephone | 702-361-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 8905 S PECOS RD STE 23A
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City | HENDERSON
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State | NV
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Zip | 89074-7148
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | HAMDY A MOHTASEB
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Credential |
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Telephone | 702-361-3030
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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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