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General NPI Number Information
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NPI Number | 1336283811
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Entity Type | Organization
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Legal Business Name | NEW HOPE CANCER AND RESEARCH INSTITUTE A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 350 VINTON AVE SUITE 101
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City | POMONA
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State | CA
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Zip | 91767
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Country | US
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Telephone | 909-620-5502
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Fax | 909-629-0552
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Provider Business Mailing Address
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Address Line | 350 VINTON AVE POMONA SUITE 101
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City | POMONA
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State | CA
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Zip | 91767
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Country | US
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Telephone | 909-620-5502
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Fax | 909-629-0552
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Authorized Official
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Title or Position | M.D. - F.A.C.P., F.A.C.E.S
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Name | VANDANA AGARWAL
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Credential |
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Telephone | 909-620-5502
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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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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A41760
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License Number State | CA
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