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General NPI Number Information
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NPI Number | 1679785141
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Entity Type | Organization
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Legal Business Name | JOHN A ELLERTON MD.LTD DBA CANCER CONSULTANTS
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 2020 W. PALOMINO LN SUITE #110
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City | LAS VEGAS
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State | NV
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Zip | 89106-4812
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Country | US
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Telephone | 702-384-0808
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Fax | 702-384-9329
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Provider Business Mailing Address
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Address Line | 2020 W. PALOMINO LN SUITE #110
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City | LAS VEGAS
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State | NV
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Zip | 89106-4812
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Country | US
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Telephone | 702-384-0808
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Fax | 702-384-9329
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN ALLAN ELLERTON
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Credential | M.D.
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Telephone | 702-384-0808
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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 | 3861
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License Number State | NV
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