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General NPI Number Information
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NPI Number | 1407564941
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Entity Type | Organization
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Legal Business Name | TCT ONCOLOGY LLC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | AVE PONCE DE LEON PARADA 17 1/2
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City | SAN JUAN
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State | PR
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Zip | 00919
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Country | US
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Telephone | 787-758-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 239 AVE ARTERIAL HOSTOS STE 201
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City | SAN JUAN
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State | PR
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Zip | 00918-1475
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE
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Name | CHELSIE GRAYBILL
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Credential |
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Telephone | 787-424-9888
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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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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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