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General NPI Number Information
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NPI Number | 1518156983
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY & ONCOLOGY OF DAYTON, INC.
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 9000 N MAIN ST STE G-36
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City | DAYTON
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State | OH
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Zip | 45415-1183
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Country | US
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Telephone | 937-832-7093
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 N MAIN ST STE G-36
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City | DAYTON
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State | OH
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Zip | 45415-1183
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Country | US
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Telephone | 937-832-1093
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN J. HALUSCHAK
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Credential | MD
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Telephone | 937-771-2421
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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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