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General NPI Number Information
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NPI Number | 1285519256
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Entity Type | Organization
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Legal Business Name | RIVERSIDE ONCOLOGY PC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 6939 PALM CT
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City | RIVERSIDE
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State | CA
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Zip | 92506-2815
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Country | US
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Telephone | 858-603-0172
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Fax |
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Provider Business Mailing Address
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Address Line | 9139 W THUNDERBIRD RD STE 220
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City | PEORIA
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State | AZ
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Zip | 85381-4924
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Country | US
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Telephone | 602-932-8288
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Fax | 602-932-8288
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. KEVIN EUGENE SANDERS
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Credential | MD
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Telephone | 253-330-0353
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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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