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General NPI Number Information
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NPI Number | 1720024201
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Entity Type | Organization
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Legal Business Name | ONCOLOGY PHARMACY SERVICES , INC.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1901 GRANDVIEW AVE
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City | EL PASO
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State | TX
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Zip | 79902-5113
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Country | US
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Telephone | 915-747-4840
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Fax | 915-532-7116
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Provider Business Mailing Address
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Address Line | PO BOX 731145
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City | DALLAS
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State | TX
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Zip | 75373-1145
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Country | US
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Telephone | 972-997-8103
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Fax | 469-467-2535
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Authorized Official
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Title or Position | SR. REVENUE CYCLE MANAGER
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Name | TODD KEVIN BIVONA
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Credential |
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Telephone | 214-794-5388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 16612
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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