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General NPI Number Information
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NPI Number | 1184789232
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGY OF SAN ANTONIO, PA
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 215 E QUINCY ST STE B100
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2039
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Country | US
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Telephone | 210-299-8000
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Fax | 210-299-8099
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Provider Business Mailing Address
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Address Line | PO BOX 10050
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City | MANHATTAN BEACH
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State | CA
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Zip | 90267-7550
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Country | US
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Telephone | 310-335-4056
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Fax | 310-335-4098
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RAJIV S. DAHIYA
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Credential |
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Telephone | 210-299-8000
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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 |
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License Number State |
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