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General NPI Number Information
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NPI Number | 1083275200
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Entity Type | Organization
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Legal Business Name | CENTERPOINT RADIATION ONCOLOGY, INC.
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 8929 WILSHIRE BLVD STE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1950
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Country | US
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Telephone | 424-249-7500
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Fax | 424-249-7609
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Provider Business Mailing Address
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Address Line | 2865 E COAST HWY STE 210
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2217
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Country | US
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Telephone | 949-999-7894
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Fax | 949-999-7881
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSALYN MORRELL
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Credential | MD
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Telephone | 424-249-7500
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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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