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General NPI Number Information
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NPI Number | 1548344229
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Entity Type | Organization
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Legal Business Name | ONCOLOGY & HEMATOLOGY, PA
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 701 MIDDLEFORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-3600
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Country | US
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Telephone | 302-629-0260
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Fax | 302-629-3418
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Provider Business Mailing Address
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Address Line | 701 MIDDLEFORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-3600
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Country | US
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Telephone | 302-629-0260
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Fax | 302-629-3418
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MIR MOUSAVI
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Credential | MD
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Telephone | 302-629-0260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | C10001859
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License Number State | DE
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