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General NPI Number Information
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NPI Number | 1457496879
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Entity Type | Organization
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Legal Business Name | VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 1517 N DOWNS ST
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City | RIDGECREST
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State | CA
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Zip | 93555-2456
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Country | US
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Telephone | 760-466-7714
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Fax | 760-446-5226
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Provider Business Mailing Address
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Address Line | 38660 MEDICAL CENTER DR SUITE A-380
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City | PALMDALE
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State | CA
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Zip | 93551-4385
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Country | US
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Telephone | 661-948-5928
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Fax | 661-948-2210
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. TERESA L ROBBINS
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Credential |
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Telephone | 661-945-2924
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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 | A31119
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License Number State | CA
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