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General NPI Number Information
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NPI Number | 1023156064
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGY OF THE OZARKS, INC.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3850 S NATIONAL AVE STE 100
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5287
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Country | US
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Telephone | 417-269-8926
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Fax | 417-269-5371
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Provider Business Mailing Address
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Address Line | 3850 S NATIONAL AVE STE 100
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5287
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Country | US
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Telephone | 417-269-8926
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Fax | 417-269-5371
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SANDY REYNOLDS
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Credential |
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Telephone | 417-269-8936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MO
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