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General NPI Number Information
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NPI Number | 1427779131
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Entity Type | Organization
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Legal Business Name | GREATER DALLAS ARYA SAMAJ CANCER CLINIC
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 833 E ARAPAHO RD STE 205
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City | RICHARDSON
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State | TX
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Zip | 75081-2269
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Country | US
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Telephone | 972-635-3680
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Fax | 313-731-3680
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Provider Business Mailing Address
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Address Line | PO BOX 514
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City | ALLEN
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State | TX
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Zip | 75013-0010
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Country | US
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Telephone | 214-733-0363
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Fax | 313-731-3680
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. VIJAY BHALLA
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Credential |
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Telephone | 214-733-0363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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