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General NPI Number Information
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NPI Number | 1003104761
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Entity Type | Organization
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Legal Business Name | METROPOLITAN ONCOLOGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 2000 VALE RD
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City | SAN PABLO
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State | CA
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Zip | 94806-3808
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Country | US
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Telephone | 734-945-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 VALE RD
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City | SAN PABLO
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State | CA
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Zip | 94806-3808
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Country | US
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Telephone | 734-945-8700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MADHU B SHETTI
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Credential | MD
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Telephone | 734-945-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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