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General NPI Number Information
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NPI Number | 1720243876
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Entity Type | Organization
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Legal Business Name | HEMOTHERAPEUTICS, INC.
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 3150 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-1970
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Country | US
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Telephone | 702-878-5800
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Fax | 702-878-5890
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Provider Business Mailing Address
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Address Line | 20350 VENTURA BLVD SUITE 135
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2452
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Country | US
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Telephone | 818-224-3785
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Fax | 818-224-3795
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. HAL LIEBERMAN
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Credential |
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Telephone | 818-224-3785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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