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General NPI Number Information
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NPI Number | 1821175597
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Entity Type | Organization
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Legal Business Name | WEST TEXAS BLOOD & CANCER CENTER, P.A.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10510 MONTWOOD DR STE A
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City | EL PASO
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State | TX
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Zip | 79935-2703
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Country | US
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Telephone | 915-598-1666
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Fax | 915-598-0515
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Provider Business Mailing Address
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Address Line | 10510 MONTWOOD DR STE A
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City | EL PASO
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State | TX
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Zip | 79935-2703
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Country | US
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Telephone | 915-598-1666
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Fax | 915-598-0515
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK K. AUNG
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Credential | M.D.
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Telephone | 915-598-1666
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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 | F8743
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License Number State | TX
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