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General NPI Number Information
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NPI Number | 1679209084
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Entity Type | Organization
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Legal Business Name | THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 2904 W HORIZON RIDGE PKWY STE 200
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City | HENDERSON
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State | NV
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Zip | 89052-5016
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Country | US
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Telephone | 562-735-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 18000 STUDEBAKER RD STE 800
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City | CERRITOS
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State | CA
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Zip | 90703-2671
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Country | US
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Telephone | 562-735-3226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YALE DAVID PODNOS
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Credential |
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Telephone | 562-735-3226
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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 | 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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