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General NPI Number Information
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NPI Number | 1528293107
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Entity Type | Organization
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Legal Business Name | CANCER HEALTH TREATMENT CENTERS, P.C,
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 2600 ROOSEVELT RD
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City | VALPARAISO
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State | IN
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Zip | 46383-0970
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Country | US
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Telephone | 219-464-1620
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Fax | 219-757-5629
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Provider Business Mailing Address
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Address Line | 8127 MERRILLVILLE RD
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City | MERRILLVILLE
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State | IN
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Zip | 46410-1485
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Country | US
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Telephone | 219-769-4855
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Fax | 219-757-5629
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | BARBARA BOESE
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Credential |
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Telephone | 219-769-4855
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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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