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General NPI Number Information
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NPI Number | 1063607125
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Entity Type | Organization
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Legal Business Name | ALLIANCE ONCOLOGY LLC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 15055 COLLECTION CENTER DR
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City | CHICAGO
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State | IL
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Zip | 60693-0150
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Country | US
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Telephone | 256-383-3325
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Fax | 256-383-5911
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Provider Business Mailing Address
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Address Line | 15055 COLLECTION CENTER DR
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City | CHICAGO
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State | IL
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Zip | 60693-0001
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Country | US
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Telephone | 256-383-3325
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Fax | 256-383-5911
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL CRAIG WEEKS
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Credential |
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Telephone | 256-383-3325
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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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