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General NPI Number Information
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NPI Number | 1265782890
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Entity Type | Organization
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Legal Business Name | BEVERLY ONCOLOGY MULTISPECIALTY GROUP MEDCIAL CORPORATION
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 18575 GALE AVE SUITE 108
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1340
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Country | US
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Telephone | 626-810-6886
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E BEVERLY BLVD SUITE 200
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City | MONTEBELLO
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State | CA
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Zip | 90640-7001
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Country | US
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Telephone | 323-517-9800
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Fax | 323-727-7574
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JOHN P THROPAY
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Credential | M. D.
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Telephone | 323-517-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G32178
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License Number State | CA
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