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General NPI Number Information
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NPI Number | 1265541049
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Entity Type | Organization
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Legal Business Name | EASTGATE RADIATION ONCOLOGY LLC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 4415 AICHOLTZ RD
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City | CINCINNATI
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State | OH
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Zip | 45245-1506
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Country | US
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Telephone | 513-752-8100
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Fax |
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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 | SENIOR VICE-PRESIDENT
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Name | MARK SHALVARJIAN
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Credential |
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Telephone | 310-335-4056
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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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