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General NPI Number Information
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NPI Number | 1376646794
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Entity Type | Organization
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Legal Business Name | COLUMBIA BASIN HEMATOLOGY & ONCOLOGY PLLC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 7360 W DESCHUTES AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-7774
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Country | US
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Telephone | 509-783-0144
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Fax | 509-783-8244
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Provider Business Mailing Address
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Address Line | 7360 W DESCHUTES AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-7774
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Country | US
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Telephone | 509-783-0144
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Fax | 509-783-8244
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Authorized Official
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Title or Position | MANAGING PARTNER OWNER
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Name | THOMAS ALEXANDER RADO
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Credential | MD
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Telephone | 509-783-0144
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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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