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General NPI Number Information
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NPI Number | 1639344922
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Entity Type | Organization
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Legal Business Name | RETINOBLASTOMA SOLUTIONS
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | TORONTO WESTERN HOSPITAL 399 BATHURST ST. ROOM MP 13-302
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City | TORONTO
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State | ONTARIO
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Zip | M5T 2S8
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Country | CA
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Telephone | 416-603-5597
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Fax | 416-603-5622
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Provider Business Mailing Address
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Address Line | TORONTO WESTERN HOSPITAL 399 BATHURST ST. ROOM MP 13-302
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City | TORONTO
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State | ONTARIO
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Zip | M5T 2S8
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Country | CA
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Telephone | 416-603-5597
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Fax | 416-603-5622
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JEANNE C MCKAY
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Credential | B.A.
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Telephone | 416-603-5597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 99D0990947
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License Number State | ZZ
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