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General NPI Number Information
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NPI Number | 1700031242
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Entity Type | Organization
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Legal Business Name | INLAND VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES, A PROFESSIONAL MEDICAL
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 1910 ROYALTY DR
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City | POMONA
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State | CA
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Zip | 91767-3021
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Country | US
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Telephone | 909-630-7342
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Fax | 909-630-7380
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Provider Business Mailing Address
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Address Line | 1910 ROYALTY DR
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City | POMONA
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State | CA
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Zip | 91767-3021
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Country | US
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Telephone | 909-630-7342
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Fax | 909-630-7380
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SWARNA S CHANDURI
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Credential | M.D.
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Telephone | 909-724-8397
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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 | A41753
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License Number State | CA
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