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General NPI Number Information
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NPI Number | 1366731499
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGY CONSULTANT, P.C.
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 140 S BEDFORD RD
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3400
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Country | US
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Telephone | 914-238-8464
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | CHAPPAQUA
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State | NY
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Zip | 10514-0610
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Country | US
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Telephone | 914-238-8464
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINCOLN PAO
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Credential | MD
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Telephone | 914-238-8464
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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 | 183421
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License Number State | NY
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