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General NPI Number Information
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NPI Number | 1538174909
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY & ONCOLOGY ASSOCIATES OF RHODE ISLAND, INC.
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 1220 PONTIAC AVE 101
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City | CRANSTON
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State | RI
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Zip | 02920-4456
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Country | US
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Telephone | 401-943-4660
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Fax | 401-943-0240
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Provider Business Mailing Address
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Address Line | 1220 PONTIAC AVE 101
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City | CRANSTON
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State | RI
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Zip | 02920-4456
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Country | US
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Telephone | 401-943-4660
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Fax | 401-943-0240
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUNDARESAN SAMBANDAM
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Credential | MD
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Telephone | 401-943-4660
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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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