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General NPI Number Information
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NPI Number | 1346288925
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Entity Type | Organization
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Legal Business Name | BLOOD AND MARROW TRANSPLANT SERVICES
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 3410 WORTH STREET, STE 300
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City | DALLAS
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State | TX
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Zip | 75246
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Country | US
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Telephone | 214-370-1500
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Fax | 214-370-1512
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Provider Business Mailing Address
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Address Line | PO BOX 911955
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City | DALLAS
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State | TX
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Zip | 75391-1955
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Country | US
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Telephone | 214-370-1500
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Fax | 214-370-1512
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JASON D SHOOK
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Credential |
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Telephone | 415-205-4379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State |
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