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General NPI Number Information
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NPI Number | 1225145139
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Entity Type | Organization
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Legal Business Name | RADIO ISOTOPE THERAPY OF AMERICA (RITA)
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9701 RICHMOND AVE STE 120
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City | HOUSTON
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State | TX
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Zip | 77042-4622
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Country | US
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Telephone | 713-781-6200
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Fax | 713-341-3249
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Provider Business Mailing Address
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Address Line | PO BOX 421413
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City | HOUSTON
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State | TX
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Zip | 77242-1413
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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 | MEDICAL DIRECTOR, PRESIDENT & CEO
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Name | DR. EBRAHIM S. DELPASSAND
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Credential | M.D.
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Telephone | 713-781-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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