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General NPI Number Information
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NPI Number | 1922192400
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Entity Type | Organization
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Legal Business Name | MEDICAL ONCOLOGY & HEMATOLOGY PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2080 WHITNEY AVE SUITE 240
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City | HAMDEN
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State | CT
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Zip | 06437
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Country | US
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Telephone | 203-407-8002
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Fax | 203-407-8038
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Provider Business Mailing Address
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Address Line | MEDICAL ONCOLOGY & HEMATOLOGY PC 19 LUNAR DRIVE
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City | WOODBRIDGE
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State | CT
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Zip | 06525
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Country | US
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Telephone | 203-389-7504
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Fax | 203-389-8854
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Authorized Official
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Title or Position | CEO
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Name | MS. CYNTHIA A WARANOWICZ
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Credential |
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Telephone | 203-389-7504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLPOL0309
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License Number State | CT
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