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General NPI Number Information
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NPI Number | 1619998507
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Entity Type | Organization
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Legal Business Name | LIBERTY ONCOLOGY
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 1 LIBERTY AVE
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City | NORRISTOWN
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State | PA
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Zip | 19403-3105
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Country | US
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Telephone | 610-539-5373
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Fax | 610-539-8260
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Provider Business Mailing Address
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Address Line | 1 LIBERTY AVE
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City | NORRISTOWN
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State | PA
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Zip | 19403-3105
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Country | US
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Telephone | 610-539-5373
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Fax | 610-539-8260
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROCCO J CRESENZO
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Credential | D.O.
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Telephone | 610-539-5373
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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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