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NPI 1003938853

NPI 1003938853 : RADIATION ONCOLOGY ASSOCIATES, INC : PITTSBURG, KS

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General NPI Number Information
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    NPI Number           |    1003938853
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    Entity Type          |    Organization 
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    Legal Business Name  |    RADIATION ONCOLOGY ASSOCIATES, INC 
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Dates
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    Enumeration Date     |    04/04/2007
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    Last Update Date     |    06/22/2021
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Provider Practice Location Address
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    Address Line         |    1 MT. CARMEL WAY 
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    City                 |    PITTSBURG
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    State                |    KS
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    Zip                  |    66762
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    Country              |    US
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    Telephone            |    620-235-7900
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    Fax                  |    620-235-7908
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2787 
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    City                 |    JOPLIN
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    State                |    MO
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    Zip                  |    64803-2787
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    Country              |    US
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    Telephone            |    620-231-3000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     DUANE E MYERS 
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    Credential           |    MD
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    Telephone            |    620-235-7900
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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       |    R4J03
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    License Number State |    MO
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Taxonomy #2
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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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