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General NPI Number Information
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NPI Number | 1619805322
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Entity Type | Organization
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Legal Business Name | MARYLAND ONCOLOGY HEMATOLOGY, P.A.
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 2150 PENNSYLVANIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20037-3201
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Country | US
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Telephone | 202-741-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 11720 BELTSVILLE DR STE 300
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City | BELTSVILLE
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State | MD
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Zip | 20705-3119
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Country | US
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Telephone | 301-929-0765
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Fax |
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Authorized Official
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Title or Position | MANAGED CARE DIRECTOR
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Name | KYLE BLACK
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Credential | MR.
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Telephone | 610-442-2026
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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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