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General NPI Number Information
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NPI Number | 1306990270
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Entity Type | Organization
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Legal Business Name | ONCOLOGY AND HEMATOLOGY, P.A.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 MIDDLEFORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-3600
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Country | US
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Telephone | 302-629-0260
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Fax | 302-629-3418
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Provider Business Mailing Address
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Address Line | 701 MIDDLEFORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-3600
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Country | US
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Telephone | 302-629-0260
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Fax | 302-629-3418
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIR M MOUSAVI
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Credential | MD
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Telephone | 302-629-0260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State | DE
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