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General NPI Number Information
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NPI Number | 1457671042
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Entity Type | Organization
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Legal Business Name | UNIV OF TEXAS MD ANDERSON CANCER CENTER
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD UNIT 90
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City | HOUSTON
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State | TX
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Zip | 77030-4000
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Country | US
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Telephone | 713-792-6125
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Fax | 713-794-1616
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Provider Business Mailing Address
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Address Line | PO BOX 4727
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City | HOUSTON
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State | TX
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Zip | 77210-4727
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP PHARMACY
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Name | JOEL LAJEUNESSE
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Credential | RPH
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Telephone | 713-792-2753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 06026
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License Number State | TX
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