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General NPI Number Information
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NPI Number | 1093774788
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGISTS PC
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 330 ARKANSAS ST SUITE 120
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City | LAWRENCE
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State | KS
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Zip | 66044-1335
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Country | US
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Telephone | 785-749-3600
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Fax | 785-749-3621
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Provider Business Mailing Address
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Address Line | 330 ARKANSAS ST SUITE 120
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City | LAWRENCE
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State | KS
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Zip | 66044-1335
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Country | US
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Telephone | 785-749-3600
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Fax | 785-749-3621
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID A DEER
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Credential | M.D.
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Telephone | 785-749-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0414419
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License Number State | KS
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