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General NPI Number Information
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NPI Number | 1447433792
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Entity Type | Organization
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Legal Business Name | BRADFORD ONCOLOGY LLC
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 8 N CENTER ST
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City | BRADFORD
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State | PA
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Zip | 16701-1903
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Country | US
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Telephone | 814-368-6929
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Fax | 814-368-6492
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Provider Business Mailing Address
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Address Line | 8 N CENTER ST
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City | BRADFORD
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State | PA
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Zip | 16701-1903
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Country | US
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Telephone | 814-368-6929
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Fax | 814-368-6492
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Authorized Official
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Title or Position | OWNER
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Name | JAGJIT SINGH TANDON
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Credential | MD
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Telephone | 814-368-6929
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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 | MD038233L
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License Number State | PA
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