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General NPI Number Information
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NPI Number | 1679446991
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Entity Type | Organization
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Legal Business Name | CANCER HEALTHCARE ASSOCIATES, P.L.
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 21110 BISCAYNE BLVD STE 403
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City | AVENTURA
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State | FL
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Zip | 33180-1252
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Country | US
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Telephone | 305-918-0742
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Fax | 305-918-0787
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Provider Business Mailing Address
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Address Line | 21110 BISCAYNE BLVD STE 403
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City | AVENTURA
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State | FL
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Zip | 33180-1252
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Country | US
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Telephone | 305-918-0742
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Fax | 305-918-0787
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | VICTORIA BALABOUS
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Credential | MBA
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Telephone | 305-918-0742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology 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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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