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General NPI Number Information
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NPI Number | 1730186479
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Entity Type | Organization
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Legal Business Name | ONCOLOGY & HEMATOLOGY OF OAKLAND PC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 1135 W UNIVERSITY DR STE 220
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City | ROCHESTER
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State | MI
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Zip | 48307-1871
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Country | US
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Telephone | 248-656-4900
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Fax | 248-656-5060
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Provider Business Mailing Address
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Address Line | 1135 W UNIVERSITY DR STE 220
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City | ROCHESTER
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State | MI
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Zip | 48307-1871
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Country | US
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Telephone | 248-656-4900
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Fax | 248-656-5060
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Authorized Official
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Title or Position | OWNER
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Name | DR. MUKESH S SHAH
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Credential | M.D.
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Telephone | 248-656-4900
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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 | MS048939
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License Number State | MI
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