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General NPI Number Information
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NPI Number | 1124337407
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Entity Type | Organization
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Legal Business Name | INTEGRATED ONCOLOGY NETWORK PLLC
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 7337 E 2ND ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5603
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Country | US
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Telephone | 480-882-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 S 52ND ST SUITE 101
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City | TEMPE
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State | AZ
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Zip | 85284-1046
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Country | US
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Telephone | 602-441-9520
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DR. NICHOLAS E FLORES
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Credential |
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Telephone | 602-441-9520
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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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