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General NPI Number Information
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NPI Number | 1881194744
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Entity Type | Organization
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Legal Business Name | AUERBACH HEMATOLOGY ONCOLOGY ASSOCIATES P C
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Dates
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Enumeration Date | 02/17/2018
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Last Update Date | 02/17/2018
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Provider Practice Location Address
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Address Line | 5233 KING AVE STE 308
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City | BALTIMORE
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State | MD
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Zip | 21237-4003
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Country | US
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Telephone | 410-780-4050
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Fax | 410-780-4060
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Provider Business Mailing Address
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Address Line | 5233 KING AVE STE 308
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City | BALTIMORE
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State | MD
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Zip | 21237-4003
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Country | US
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Telephone | 410-780-4050
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Fax | 410-780-4060
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL AUERBACH
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Credential | MD
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Telephone | 410-780-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | D0033551
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License Number State | MD
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