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General NPI Number Information
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NPI Number | 1346579638
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Entity Type | Organization
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Legal Business Name | WEST END HEMATOLOGY AND MEDICAL ONCOLOGY GROUP, INC.
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 7660 E PARHAM RD SUITE 102
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City | RICHMOND
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State | VA
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Zip | 23294-4378
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Country | US
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Telephone | 804-346-3182
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Fax | 804-273-1862
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Provider Business Mailing Address
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Address Line | 7660 E PARHAM RD SUITE 102
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City | RICHMOND
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State | VA
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Zip | 23294-4378
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Country | US
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Telephone | 804-346-3182
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Fax | 804-273-1862
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. GHULAM DASTGIR QURESHI
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Credential | M.D.
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Telephone | 804-346-3182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101021014
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License Number State | VA
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