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General NPI Number Information
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NPI Number | 1407272610
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Entity Type | Organization
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Legal Business Name | RG HEMATOLOGY ONCOLOGY PSC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 1427 AVE FERNANDEZ JUNCOS OFICINA 201
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City | SANTURCE
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State | PR
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Zip | 00909-2658
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Country | US
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Telephone | 787-725-6381
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Fax | 787-725-6381
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Provider Business Mailing Address
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Address Line | #1353 ROAD 19 GARDENS HILL PLAZA PMB 386
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City | GUAYNABO
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State | PR
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Zip | 00966-2700
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Country | US
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Telephone | 787-725-6381
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Fax | 787-725-6381
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. REBECCA GARCIA ORTIZ
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Credential | MD
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Telephone | 787-725-6381
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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 |
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License Number State |
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