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General NPI Number Information
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NPI Number | 1083651327
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Entity Type | Organization
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Legal Business Name | PRECISION RADIATION ONCOLOGY SYSTEMS
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 113 JOLLY ST
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City | LOUISBURG
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State | NC
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Zip | 27549
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Country | US
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Telephone | 919-497-0113
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Fax | 919-497-0115
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Provider Business Mailing Address
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Address Line | 8741 LANDMARK RD C/O MICHELLE TRAINHAM
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City | RICHMOND
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State | VA
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Zip | 23228-2801
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Country | US
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Telephone | 804-264-7605
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Fax | 804-672-6899
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | ROBERT L MCLAURIN JR.
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Credential | MD FACS
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Telephone | 919-497-0113
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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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