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General NPI Number Information
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NPI Number | 1831485267
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Entity Type | Organization
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Legal Business Name | OKLAHOMA CANCER AND BLOOD SPECIALISTS, LLC
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 11100 HEFNER POINTE DR STE A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-5049
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Country | US
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Telephone | 405-752-0871
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Fax | 405-755-9510
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Provider Business Mailing Address
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Address Line | 11100 HEFNER POINTE DR STE A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-5049
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Country | US
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Telephone | 405-752-0871
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Fax | 405-755-9510
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DENISE ELAINE BORRELL
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Credential |
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Telephone | 405-752-0871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 20272
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License Number State | OK
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