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General NPI Number Information
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NPI Number | 1457403644
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Entity Type | Organization
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Legal Business Name | FREDERICK ONCOLOGY HEMATOLOGY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 46 BTHOMAS JOHNSON DRIVE SUITE 200
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City | FREDERICK
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State | MD
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Zip | 21702-4300
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Country | US
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Telephone | 301-695-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 46 THOMAS JOHNSON DRIVE SUITE 200
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City | FREDERICK
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State | MD
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Zip | 21702-4300
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Country | US
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Telephone | 301-695-6777
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. A ZAKARIA HEGAZI
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Credential | M.D.
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Telephone | 301-695-6777
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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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