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General NPI Number Information
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NPI Number | 1184853285
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Entity Type | Organization
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Legal Business Name | WESTERN PLAINS ONCOLOGY, P.C.
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 1301 15TH AVE W
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City | WILLISTON
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State | ND
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Zip | 58801-3821
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Country | US
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Telephone | 701-774-7464
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2187
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City | MINOT
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State | ND
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Zip | 58702-2187
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Country | US
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Telephone | 701-721-4044
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Fax | 701-857-5171
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN B COLLINS
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Credential | M.D.
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Telephone | 701-721-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | 8183
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License Number State | ND
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