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General NPI Number Information
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NPI Number | 1568697779
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Entity Type | Organization
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Legal Business Name | HUDSON ONCOLOGY HEMATOLOGY
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 282 SAINT PAULS AVE GROUND FLOOR MEDICAL OFFICE
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City | JERSEY CITY
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State | NJ
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Zip | 07306-5012
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Country | US
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Telephone | 862-222-2424
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Fax | 201-915-2219
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Provider Business Mailing Address
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Address Line | 7 F X DOWNEY CT
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2338
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Country | US
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Telephone | 862-222-2427
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Fax | 201-915-2219
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Authorized Official
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Title or Position | DIRECTOR
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Name | HITENDRAKUMAR UPADHYAYA
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Credential | M.D.
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Telephone | 862-222-2427
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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 | 25MA05772000
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License Number State | NJ
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