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General NPI Number Information
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NPI Number | 1356415004
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGY ASSOCIATES OF SOUTH TEXAS, L.L.P.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 02/11/2010
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Provider Practice Location Address
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Address Line | 2807 N BEN WILSON ST SUITE 201
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City | VICTORIA
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State | TX
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Zip | 77901-5730
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Country | US
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Telephone | 361-576-9812
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Fax | 361-574-1580
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Provider Business Mailing Address
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Address Line | 1502 E RED RIVER ST #347
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City | VICTORIA
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State | TX
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Zip | 77901-5523
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Country | US
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Telephone | 361-576-9812
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Fax | 361-574-1580
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. GRACE LING CHEN
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Credential | R.N., PH.D.
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Telephone | 361-576-9812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number |
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License Number State |
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