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General NPI Number Information
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NPI Number | 1043371057
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Entity Type | Organization
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Legal Business Name | VIRGINIA RADIATION THERAPY AND ONCOLOGY
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 15394 KINGS HWY
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City | MONTROSS
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State | VA
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Zip | 22520-2746
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Country | US
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Telephone | 804-493-8880
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Fax | 804-493-9993
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Provider Business Mailing Address
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Address Line | PO BOX 8510
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City | FREDERICKSBURG
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State | VA
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Zip | 22404-8510
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Country | US
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Telephone | 804-493-8880
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Fax | 804-493-9993
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CHRISTOPHER S. WALSH
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Credential | M.D.
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Telephone | 804-493-8880
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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 | 0101044101
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License Number State | VA
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