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General NPI Number Information
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NPI Number | 1750533782
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Entity Type | Organization
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Legal Business Name | ADVANCED CANCER CARE
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 5960 W PARKER RD
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City | PLANO
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State | TX
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Zip | 75093-7767
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Country | US
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Telephone | 940-270-5000
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Fax | 940-269-5001
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Provider Business Mailing Address
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Address Line | 5960 W PARKER RD
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City | PLANO
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State | TX
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Zip | 75093-7767
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Country | US
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Telephone | 940-270-5000
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Fax | 940-269-5001
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ODETTE CAMPBELL
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Credential | M.D
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Telephone | 940-270-5000
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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 |
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License Number State |
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