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NPI 1639510829

NPI 1639510829 : OCALA ONCOLOGY CENTER PL : BROOKSVILLE, FL

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General NPI Number Information
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    NPI Number           |    1639510829
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    Entity Type          |    Organization 
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    Legal Business Name  |    OCALA ONCOLOGY CENTER PL 
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Dates
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    Enumeration Date     |    07/16/2013
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    Last Update Date     |    12/16/2013
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Provider Practice Location Address
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    Address Line         |    11373 CORTEZ BLVD SUITE 200
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    City                 |    BROOKSVILLE
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    State                |    FL
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    Zip                  |    34613-5405
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    Country              |    US
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    Telephone            |    352-597-4998
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    Fax                  |    352-596-6051
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Provider Business Mailing Address
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    Address Line         |    7324 LITTLE RD 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34654-5518
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    Country              |    US
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    Telephone            |    727-484-7722
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    Fax                  |    727-484-7780
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Authorized Official
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    Title or Position    |    PRACTICE PRESIDENT
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    Name                 |    DR. LAWRENCE D. HOCHMAN 
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    Credential           |    D.O.
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    Telephone            |    727-372-9159
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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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