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General NPI Number Information
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NPI Number | 1598829574
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Entity Type | Organization
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Legal Business Name | ORANGE COAST ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 520 SUPERIOR AVE SUITE 300
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3637
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Country | US
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Telephone | 949-646-6441
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Fax | 949-646-5719
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Provider Business Mailing Address
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Address Line | 17500 RED HILL AVE 250
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City | IRVINE
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State | CA
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Zip | 92614-5645
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Country | US
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Telephone | 949-474-5720
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Fax | 949-809-6497
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | JILL CHIASCIONE
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Credential |
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Telephone | 949-474-5721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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