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General NPI Number Information
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NPI Number | 1285624163
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Entity Type | Organization
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Legal Business Name | OHIO RADIATION ONCOLOGY, INC.
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 3801 CENTER RD
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City | BRUNSWICK
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State | OH
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Zip | 44212-3023
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Country | US
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Telephone | 330-273-2656
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Fax | 330-273-3755
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Provider Business Mailing Address
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Address Line | 3801 CENTER RD
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City | BRUNSWICK
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State | OH
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Zip | 44212-3023
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Country | US
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Telephone | 330-273-2656
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Fax | 330-273-3755
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ASHWIN N PATEL
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Credential | M.D.
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Telephone | 330-273-2656
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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 | 10151C
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0713RT
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License Number State | OH
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