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General NPI Number Information
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NPI Number | 1427202316
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Entity Type | Organization
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Legal Business Name | SANTA BARBARA HEMATOLOGY ONCOLOGY MEDICAL GROUP
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 540 W PUEBLO ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4230
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Country | US
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Telephone | 805-563-5800
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Fax | 805-898-3611
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Provider Business Mailing Address
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Address Line | 540 W PUEBLO ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4230
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Country | US
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Telephone | 805-563-5800
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Fax | 805-898-3611
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Authorized Official
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Title or Position | HEAD OF PRACTICE
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Name | DR. FREDERIC C. KASS
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Credential | M.D.
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Telephone | 805-563-5800
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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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