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General NPI Number Information
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NPI Number | 1306983739
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Entity Type | Organization
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Legal Business Name | ARIZONA ONCOLOGY SERVICES SURGICENTER
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 300 W CLARENDON AVE SUITE 350
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City | PHOENIX
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State | AZ
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Zip | 85013-3420
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Country | US
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Telephone | 602-240-3395
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Fax | 602-240-3539
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Provider Business Mailing Address
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Address Line | 300 W CLARENDON AVE SUITE 350
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City | PHOENIX
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State | AZ
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Zip | 85013-3420
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Country | US
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Telephone | 602-240-3395
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Fax | 602-240-3539
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Authorized Official
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Title or Position | VICE PRESIDENT/ MEDICAL DIRECTOR
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Name | DAVID C BEYER
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Credential | MD
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Telephone | 602-240-3395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | 03C0001222
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License Number State | AZ
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