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NPI 1346261179

NPI 1346261179 : HEMATOLOGY ONCOLOGY ASSOCIATES, SJ, PA : MT HOLLY, NJ

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General NPI Number Information
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    NPI Number           |    1346261179
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEMATOLOGY ONCOLOGY ASSOCIATES, SJ, PA 
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Dates
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    Enumeration Date     |    07/21/2006
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    Last Update Date     |    04/21/2011
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Provider Practice Location Address
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    Address Line         |    175 MADISON AVE 4TH FLOOR STOKES BLDG
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    City                 |    MT HOLLY
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    State                |    NJ
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    Zip                  |    08060
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    Country              |    US
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    Telephone            |    609-702-1900
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    Fax                  |    609-702-8455
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Provider Business Mailing Address
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    Address Line         |    175 MADISON AVENUE 4TH FLOOR STOKES BUILDING
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    City                 |    MT. HOLLY
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    State                |    NJ
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    Zip                  |    08060
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    Country              |    US
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    Telephone            |    609-702-1900
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    Fax                  |    609-702-8455
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Authorized Official
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    Title or Position    |    PRACTICE ADMINISTRATOR
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    Name                 |    MRS. JOANNE  LOSSE 
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    Credential           |    
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    Telephone            |    609-702-1900
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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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