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General NPI Number Information
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NPI Number | 1548743768
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Entity Type | Organization
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Legal Business Name | HEM-ONC STAFFING SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 6605 W BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23230-1714
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Country | US
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Telephone | 804-287-3000
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Fax | 804-200-6229
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Provider Business Mailing Address
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Address Line | 2700 N MACDILL AVE STE 209
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City | TAMPA
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State | FL
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Zip | 33607-2273
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Country | US
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Telephone | 813-350-9002
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Fax | 813-354-3345
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE HOUGH
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Credential | MD
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Telephone | 813-350-9002
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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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