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General NPI Number Information
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NPI Number | 1225821663
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Entity Type | Organization
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Legal Business Name | ONCOLOGY AND RADIATION ASSOCIATES PA
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 7150 W 20TH AVE STE 214
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City | HIALEAH
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State | FL
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Zip | 33016-5531
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Country | US
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Telephone | 305-826-8606
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Fax | 305-364-0166
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Provider Business Mailing Address
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Address Line | 8899 NW 18TH TER STE 203
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City | DORAL
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State | FL
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Zip | 33172-2616
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Country | US
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Telephone |
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Fax | 305-436-1050
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Authorized Official
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Title or Position | DIRECTOR
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Name | NELLY LOPEZ
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Credential |
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Telephone | 305-436-1036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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