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General NPI Number Information
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NPI Number | 1639162985
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Entity Type | Organization
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Legal Business Name | ONCOLOGY HEMATOLOGY CARE, INC.
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 85 N GRAND AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-1793
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Country | US
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Telephone | 859-572-3901
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Fax | 859-442-5337
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Provider Business Mailing Address
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Address Line | 5053 WOOSTER RD
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City | CINCINNATI
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State | OH
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Zip | 45226-2326
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Country | US
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Telephone | 513-751-2145
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Fax | 513-751-2138
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD R BROUN
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Credential | MD
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Telephone | 513-751-2145
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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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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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