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General NPI Number Information
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NPI Number | 1508841669
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Entity Type | Individual
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Provider Name | MARWAN MASSOUH MD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29101 HEALTH CAMPUS DR SUITE 260
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City | WESTLAKE
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State | OH
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Zip | 44145-5270
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Country | US
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Telephone | 440-808-6500
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Fax | 440-808-8865
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Provider Business Mailing Address
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Address Line | 29101 HEALTH CAMPUS DR SUITE 260
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City | WESTLAKE
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State | OH
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Zip | 44145-5270
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Country | US
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Telephone | 440-808-6500
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Fax | 440-808-8865
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 35056179
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License Number State | OH
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