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General NPI Number Information
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NPI Number | 1245585504
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Entity Type | Organization
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Legal Business Name | VSJ HEMATOLOGY ONCOLOGY, LLC
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 201 SIVLEY RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5134
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Country | US
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Telephone | 256-975-9180
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SIVLEY RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5134
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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 | PHYSICIAN
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Name | DR. SRINIVAS JUJJAVARAPU
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Credential | M. D.
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Telephone | 256-975-9180
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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 | 18369
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License Number State | AL
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