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General NPI Number Information
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NPI Number | 1447473376
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Entity Type | Organization
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Legal Business Name | EAST VALLEY HEMATOLOGISTS AND ONCOLOGISTS
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 600 S DOBSON RD STE 10 BLDG B
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City | CHANDLER
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State | AZ
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Zip | 85224-5674
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Country | US
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Telephone | 480-857-2510
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Fax | 480-857-3404
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Provider Business Mailing Address
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Address Line | 600 S DOBSON RD STE 10 BLDG B
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City | CHANDLER
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State | AZ
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Zip | 85224-5674
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Country | US
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Telephone | 480-857-2510
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Fax | 480-857-3404
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MADHURI KADIYALA
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Credential | MD
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Telephone | 480-857-2510
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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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