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General NPI Number Information
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NPI Number | 1679511703
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Entity Type | Organization
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Legal Business Name | HEMONCARE, P.C.
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 2558 E 18TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-3518
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Country | US
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Telephone | 718-616-0801
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Fax | 718-616-0809
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Provider Business Mailing Address
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Address Line | 2558 E 18TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-3518
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Country | US
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Telephone | 718-616-0801
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Fax | 718-616-0809
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VERONIKA PROKHOROVA
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Credential |
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Telephone | 718-616-0801
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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 | NY
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