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General NPI Number Information
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NPI Number | 1417946328
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Entity Type | Organization
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Legal Business Name | TEXAS CANCER ASSOCIATES LLP
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8440 WALNUT HILL LN STE 600
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-739-1706
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Fax | 214-368-0056
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Provider Business Mailing Address
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Address Line | PO BOX 650758
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City | DALLAS
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State | TX
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Zip | 75265-0758
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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 | CEO
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Name | JIUESH SHARKA
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Credential | MD
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Telephone | 972-739-1706
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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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