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General NPI Number Information
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NPI Number | 1316993405
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Entity Type | Organization
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Legal Business Name | ONCOLOGY GROUP INC.
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 900 GREENLEY RD SUITE 901
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City | SONORA
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State | CA
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Zip | 95370-5287
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Country | US
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Telephone | 209-536-0223
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Fax |
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Provider Business Mailing Address
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Address Line | 900 GREENLEY RD SUITE 901
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City | SONORA
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State | CA
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Zip | 95370-5287
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Country | US
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Telephone | 209-536-0223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY S YOUNG
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Credential | MD
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Telephone | 209-536-0223
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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 | G61579
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License Number State | CA
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