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General NPI Number Information
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NPI Number | 1316959646
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Entity Type | Individual
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Provider Name | DAVID A KANTOROWITZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 501 NW ELKS DR
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City | CORVALLIS
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State | OR
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Zip | 97330-3757
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Country | US
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Telephone | 541-768-7722
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Fax | 541-768-4685
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Provider Business Mailing Address
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Address Line | PO BOX 1189
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City | CORVALLIS
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State | OR
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Zip | 97339-1189
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 35.135193
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 12706C
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD151974
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License Number State | OR
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