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General NPI Number Information
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NPI Number | 1033213020
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Entity Type | Organization
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Legal Business Name | LITCHFIELD ONCOLOGY INSTITUTE LTD
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 1201 EAST UNION AVENUE
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City | LITCHFIELD
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State | IL
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Zip | 62056
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Country | US
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Telephone | 217-324-1100
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Fax | 217-324-1103
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Provider Business Mailing Address
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Address Line | PO BOX 483
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City | LITCHFIELD
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State | IL
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Zip | 62056-0483
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Country | US
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Telephone | 217-324-1100
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Fax | 217-324-1103
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALEEM MAHMOOD
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Credential | MD
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Telephone | 217-324-1100
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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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