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General NPI Number Information
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NPI Number | 1285042036
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Entity Type | Organization
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Legal Business Name | GULF REGION RADIATION ONCOLOGY CENTERS
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 1545 AIRPORT BLVD STE 1000
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City | PENSACOLA
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State | FL
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Zip | 32504-8615
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Country | US
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Telephone | 850-416-1791
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 AIRPORT BLVD STE 1000
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City | PENSACOLA
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State | FL
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Zip | 32504-8615
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Country | US
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Telephone | 850-416-1791
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TANIA LYNN ADAMS
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Credential |
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Telephone | 850-416-1791
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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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