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General NPI Number Information
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NPI Number | 1386027019
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY ONCOLOGY OF TYSONS PLLC
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 8290 OLD COURTHOUSE RD STE C
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City | VIENNA
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State | VA
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Zip | 22182-3837
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Country | US
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Telephone | 732-678-8772
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Fax | 703-666-8844
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Provider Business Mailing Address
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Address Line | 8290 OLD COURTHOUSE RD STE C
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City | VIENNA
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State | VA
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Zip | 22182-3837
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Country | US
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Telephone | 214-704-3288
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Fax | 704-666-8844
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Authorized Official
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Title or Position | MD
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Name | CAMILA SAHEBI
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Credential |
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Telephone | 732-678-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | 0101255947
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License Number State | VA
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