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General NPI Number Information
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NPI Number | 1033253679
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Entity Type | Individual
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Provider Name | TODD W. FLANNERY MD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 1201 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1201
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Country | US
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Telephone | 215-607-6989
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Fax | 215-710-6789
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Provider Business Mailing Address
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Address Line | 629 CRANBURY RD FL 2
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4096
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Country | US
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Telephone | 732-390-7750
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Fax | 732-390-7725
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MA08389100
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License Number State | NJ
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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 | MD433804
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License Number State | PA
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