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General NPI Number Information
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NPI Number | 1760301170
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Entity Type | Organization
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Legal Business Name | MALIGNANT HEME ALLIANCE LLC
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Dates
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Enumeration Date | 07/11/2026
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 715 AVE PONCE DE LEON
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City | HATO REY
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State | PR
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Zip | 00917-5032
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Country | US
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Telephone | 787-758-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 405 AVE ESMERALDA STE 2
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City | GUAYNABO
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State | PR
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Zip | 00969-4466
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM DOEL MARRERO LEON
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Credential | MD
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Telephone | 787-247-2880
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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 |
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License Number State |
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