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General NPI Number Information
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NPI Number | 1467522748
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Entity Type | Organization
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Legal Business Name | CANCER CARE & CHEMOTHERAPY CENTER
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 1713 HWY 441N SUITE #J
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1900
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Country | US
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Telephone | 863-467-9000
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Fax | 863-467-9229
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Provider Business Mailing Address
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Address Line | 1900 NEBRASKA AVE SUITE #2
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City | FT. PIERCE
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State | FL
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Zip | 34950-4837
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Country | US
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Telephone | 772-489-4000
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Fax | 772-489-4066
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Authorized Official
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Title or Position | PRESIDENT
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Name | VASEEM SYED AKHTAR
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Credential | MD
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Telephone | 863-467-9000
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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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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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