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General NPI Number Information
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NPI Number | 1174682710
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Entity Type | Organization
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Legal Business Name | KENTUCKY RADIATION THERAPY ASSOCIATES PSC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 913 N DIXIE AVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2503
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Country | US
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Telephone | 270-706-5065
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Fax | 270-706-1082
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Provider Business Mailing Address
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Address Line | PO BOX 2353
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City | ELIZABETHTOWN
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State | KY
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Zip | 42702-2353
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Country | US
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Telephone | 270-706-5065
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Fax | 270-706-1082
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | RICHARD B SEITHER
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Credential | MD
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Telephone | 270-706-5065
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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 | 28446
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License Number State | KY
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