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General NPI Number Information
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NPI Number | 1205949252
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Entity Type | Organization
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Legal Business Name | HEARTLAND RADIATION ONCOLOGY
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1159 W JEFFERSON ST
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City | FRANKLIN
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State | IN
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Zip | 46131-2794
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Country | US
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Telephone | 574-271-2558
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Fax | 574-273-1137
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Provider Business Mailing Address
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Address Line | 1159 W JEFFERSON ST
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City | FRANKLIN
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State | IN
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Zip | 46131-2794
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING ADMINISTRATOR
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Name | JAN RHODES
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Credential |
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Telephone | 574-271-2558
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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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