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General NPI Number Information
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NPI Number | 1639335151
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Entity Type | Organization
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Legal Business Name | NEURO-ONCOLOGY BRANCH
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 9030 OLD GEORGETOWN RD BLDG. 82, MSC 8202
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-402-6298
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Fax | 301-480-2246
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Provider Business Mailing Address
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Address Line | 9030 OLD GEORGETOWN RD BLDG. 82, MSC 8202
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-402-6298
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Fax | 301-480-2246
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Authorized Official
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Title or Position | CHIEF, NEURO-ONCOLOGY BRANCH
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Name | MR. HOWARD ALAN FINE
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Credential | MD
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Telephone | 301-402-8363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | D0055925
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License Number State | MD
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