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General NPI Number Information
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NPI Number | 1356570477
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Entity Type | Organization
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Legal Business Name | COLFAX ONCOLOGY LLC
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Dates
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Enumeration Date | 07/10/2009
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Last Update Date | 07/10/2009
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Provider Practice Location Address
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Address Line | 680 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07514-1422
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Country | US
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Telephone | 973-594-7977
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Fax | 877-958-7233
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Provider Business Mailing Address
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Address Line | PO BOX 857
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City | CLIFTON
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State | NJ
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Zip | 07015-0857
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Country | US
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Telephone | 973-594-7977
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Fax | 877-958-7233
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARDS AFONJA
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Credential | MD
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Telephone | 973-594-7977
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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 | MA06112700
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License Number State | NJ
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