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General NPI Number Information
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NPI Number | 1346349321
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Entity Type | Organization
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Legal Business Name | VROM LLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 2490 S. WOODWORTH LOOP SUITE 150
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City | PALMER
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State | AK
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Zip | 99645
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Country | US
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Telephone | 907-745-2900
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Fax | 907-745-2999
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Provider Business Mailing Address
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Address Line | PO BOX 35146 LB# 196719
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City | SEATTLE
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State | WA
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Zip | 98124-2932
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Country | US
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Telephone | 907-276-2400
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Fax | 907-276-4888
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ASHLYN KRAUSE
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Credential |
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Telephone | 907-276-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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