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General NPI Number Information
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NPI Number | 1982615399
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Entity Type | Organization
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Legal Business Name | ALLIANCE CANCER SPECIALIST
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 201 GIBRALTAR RD STE 120
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City | HORSHAM
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State | PA
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Zip | 19044-2331
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Country | US
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Telephone | 215-658-7252
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Fax | 215-706-4477
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Provider Business Mailing Address
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Address Line | 201 GIBRALTAR RD STE 120
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City | HORSHAM
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State | PA
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Zip | 19044-2331
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Country | US
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Telephone | 215-658-7252
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Fax | 215-706-4477
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MARYANN WINGATE
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Credential |
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Telephone | 215-658-7252
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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 | MD025419E
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License Number State | PA
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