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General NPI Number Information
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NPI Number | 1316513807
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Entity Type | Organization
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Legal Business Name | CITY OF HOPE MEDICAL FOUNDATION
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 1043 ELM AVE STE 104
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City | LONG BEACH
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State | CA
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Zip | 90813-3244
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Country | US
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Telephone | 562-590-0345
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Fax | 562-437-8139
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Provider Business Mailing Address
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Address Line | PO BOX 512185
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City | LOS ANGELES
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State | CA
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Zip | 90051-0185
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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 | AO
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Name | VINCENT JENSEN
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Credential |
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Telephone | 626-256-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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