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General NPI Number Information
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NPI Number | 1831489327
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Entity Type | Organization
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Legal Business Name | MON-VALE ONCOLOGY, INC.
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1163 COUNTRY CLUB RD
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City | MONONGAHELA
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State | PA
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Zip | 15063-1013
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Country | US
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Telephone | 724-292-9404
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Fax | 724-292-9155
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL AVE ATTN PROVIDER ENROLLMENT
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City | DUBOIS
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State | PA
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Zip | 15801-1440
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Country | US
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Telephone | 724-986-0698
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Fax | 814-372-2676
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Authorized Official
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Title or Position | DELEGATED OFFICIAL/AUTHORIZED OFFIC
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Name | MRS. JOURDAN STRISHOCK
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Credential |
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Telephone | 814-375-6160
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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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Taxonomy #2
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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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