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General NPI Number Information
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NPI Number | 1326726126
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Entity Type | Organization
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Legal Business Name | HOPE ONCOLOGY LLC
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | AVENIDA PONCE DE LEON PARADA 37 1/2 CENTRO DE CANCER HOSPITAL AUXILIO MUTUO
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City | SAN JUAN
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State | PR
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Zip | 00919
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Country | US
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Telephone | 787-410-9024
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CALLE SAN JOSE
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City | GUAYNABO
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State | PR
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Zip | 00969-4714
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Country | US
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Telephone | 787-410-9024
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DALIANIE NIEVES
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Credential | MD
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Telephone | 787-410-9024
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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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