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General NPI Number Information
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NPI Number | 1891251369
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Entity Type | Organization
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Legal Business Name | SHORELINE ONCOLOGY AND HEMATOLOGY INC
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 80 GARDEN CT STE 200
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City | MONTEREY
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State | CA
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Zip | 93940-5372
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Country | US
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Telephone | 831-920-3500
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Fax | 831-920-3600
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Provider Business Mailing Address
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Address Line | 1335 1ST ST STE C
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City | GILROY
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State | CA
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Zip | 95020-4738
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Country | US
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Telephone | 831-920-3500
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Fax | 831-920-3600
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | HEATHER D CUNNINHAM
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Credential | MD
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Telephone | 831-920-3500
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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 |
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License Number State |
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