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General NPI Number Information
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NPI Number | 1326233404
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Entity Type | Organization
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Legal Business Name | ASSURANCE ONCOLOGY SERVICES LLC
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 70 BOWDEN CIR
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City | CHELSEA
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State | AL
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Zip | 35043-3215
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Country | US
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Telephone | 205-678-4883
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Fax | 205-678-4884
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Provider Business Mailing Address
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Address Line | 70 BOWDEN CIR
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City | CHELSEA
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State | AL
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Zip | 35043-3215
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Country | US
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Telephone | 205-678-4883
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Fax | 205-678-4884
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. CHRISTOPHER DEAN JAHRAUS
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Credential | MD
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Telephone | 205-678-4883
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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 | 00026321
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License Number State | AL
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