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General NPI Number Information
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NPI Number | 1710158266
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Entity Type | Organization
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Legal Business Name | LEBANON HEMATOLOGYONCOLOGY INC
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 670 N BROADWAY ST
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City | LEBANON
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State | OH
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Zip | 45036-1724
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Country | US
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Telephone | 513-228-1552
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Fax |
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Provider Business Mailing Address
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Address Line | 670 N BROADWAY ST
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City | LEBANON
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State | OH
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Zip | 45036-1724
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Country | US
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Telephone | 513-228-1552
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHERYL A SKINNER
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Credential | M.D.
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Telephone | 513-228-1552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35048340
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License Number State | OH
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