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General NPI Number Information
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NPI Number | 1093035628
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Entity Type | Organization
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Legal Business Name | ONSLOW RADIATION ONCOLOGY LLC
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Dates
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Enumeration Date | 06/05/2010
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 317 WESTERN BLVD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6338
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Country | US
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Telephone | 910-577-4900
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Fax | 910-577-4910
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Provider Business Mailing Address
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Address Line | PO BOX 96849
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City | CHARLOTTE
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State | NC
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Zip | 28296-6849
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Country | US
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Telephone | 910-577-4900
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Fax | 910-577-4910
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CARL E BIBER
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Credential |
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Telephone | 910-577-2969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | 067-1440-A1
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License Number State | NC
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