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General NPI Number Information
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NPI Number | 1922779248
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Entity Type | Organization
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Legal Business Name | BLOOD & CANCER CENTER INC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 3695A BOARDMAN CANFIELD RD
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City | CANFIELD
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State | OH
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Zip | 44406-9009
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Country | US
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Telephone | 330-533-3040
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Fax | 330-533-9459
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Provider Business Mailing Address
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Address Line | 3695A BOARDMAN CANFIELD RD
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City | CANFIELD
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State | OH
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Zip | 44406-9009
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Country | US
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Telephone | 330-533-3040
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Fax | 330-533-9459
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | CHRISTINE JOHNSON
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Credential |
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Telephone | 330-533-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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