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General NPI Number Information
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NPI Number | 1871675694
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY ONCOLOGY SPECIALISTS OF CAPE COD, P.C.
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 JONES RD SUITE 2-5
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City | FALMOUTH
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State | MA
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Zip | 02540-2904
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Country | US
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Telephone | 508-540-1163
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Fax | 508-540-7550
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Provider Business Mailing Address
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Address Line | 120 JONES RD SUITE 2-5
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City | FALMOUTH
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State | MA
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Zip | 02540-2904
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Country | US
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Telephone | 508-540-1163
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Fax | 508-540-7550
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTOR M AVILES
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Credential | M.D.
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Telephone | 508-540-1163
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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 | 210733
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License Number State | MA
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