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NPI 1174173165

NPI 1174173165 : AMERICAN ONCOLOGY PARTNERS, P.A. : SPRINGFIELD, MO

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General NPI Number Information
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    NPI Number           |    1174173165
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN ONCOLOGY PARTNERS, P.A. 
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Dates
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    Enumeration Date     |    09/12/2019
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    Last Update Date     |    09/17/2025
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Provider Practice Location Address
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    Address Line         |    3850 S NATIONAL AVE STE 600 
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    City                 |    SPRINGFIELD
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    State                |    MO
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    Zip                  |    65807-5230
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    Country              |    US
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    Telephone            |    417-882-4880
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    Fax                  |    417-882-7843
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Provider Business Mailing Address
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    Address Line         |    PO BOX 749495 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-9495
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    Country              |    US
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    Telephone            |    855-963-2100
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    Fax                  |    813-321-1296
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Authorized Official
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    Title or Position    |    OWNER / PRESIDENT
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    Name                 |    DR. RYAN K OLSON 
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    Credential           |    MD
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    Telephone            |    239-318-9284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RH0000X
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    Taxonomy Name        |    Hematology (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    
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    License Number State |    
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