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General NPI Number Information
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NPI Number | 1932431616
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Entity Type | Organization
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Legal Business Name | COUNTY HEMATOLOGY-ONCOLOGY CLINICS
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 711 MCCLINTIC DRIVE HEMO-ONCO SPECIALTY CENTER
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City | GROESBECK
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State | TX
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Zip | 76642
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Country | US
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Telephone | 888-708-8819
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23642
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City | WACO
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State | TX
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Zip | 76702-3642
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Country | US
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Telephone | 888-708-8819
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BAOCHONG B. CHANG
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Credential | M.D.
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Telephone | 888-708-8819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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