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General NPI Number Information
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NPI Number | 1326153859
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Entity Type | Organization
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Legal Business Name | UNIVERSITY RADIOTHERAPY ASSOCIATES PSC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 529 S JACKSON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-3229
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Country | US
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Telephone | 502-561-2708
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Fax | 502-561-2709
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Provider Business Mailing Address
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Address Line | PO BOX 740041 DEPT 5081
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City | LOUISVILLE
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State | KY
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Zip | 40201-7441
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Country | US
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Telephone | 502-561-2708
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Fax | 502-561-2709
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Authorized Official
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Title or Position | PRESIDENT AND CHIEF OFFICER
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Name | DR. WILLIAM JOSEPH SPANOS JR.
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Credential | MD
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Telephone | 502-561-2700
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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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