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General NPI Number Information
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NPI Number | 1669669438
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Entity Type | Organization
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Legal Business Name | TALLAHASSEE CANCER INSTITUTE, PL
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 1653 MAHAN CENTER BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5454
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Country | US
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Telephone | 850-219-8000
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Fax | 850-219-8003
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Provider Business Mailing Address
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Address Line | 1653 MAHAN CENTER BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5454
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Country | US
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Telephone | 850-219-8000
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Fax | 850-219-8003
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Authorized Official
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Title or Position | HEMOTOLOGY/ONCOLOGY
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Name | DR. AMER G RASSAM
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Credential |
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Telephone | 850-219-8000
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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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