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General NPI Number Information
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NPI Number | 1336002450
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Entity Type | Individual
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Provider Name | SUSANNE MARIE CYRUS-YOUNG RTT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 860 BELTLINE RD
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1091
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Country | US
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Telephone | 541-344-4168
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Fax |
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Provider Business Mailing Address
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Address Line | 86090 SELLS VIEW DR
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City | EUGENE
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State | OR
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Zip | 97402-8234
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Country | US
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Telephone | 951-663-7891
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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 | 2471R0002X
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Taxonomy Name | Radiation Therapy Radiologic Technologist
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License Number | 916763
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License Number State | OR
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