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General NPI Number Information
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NPI Number | 1376553529
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Entity Type | Organization
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Legal Business Name | ONCOLOGIC SPECIALISTS PC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 1080 HARRINGTON ST
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2901
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Country | US
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Telephone | 586-493-7510
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Fax | 586-493-7511
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Provider Business Mailing Address
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Address Line | PO BOX 72239
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City | CLEVELAND
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State | OH
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Zip | 44192-0002
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Country | US
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Telephone | 314-991-8200
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Fax | 314-569-1787
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARTHUR J FRAZIER
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Credential | MD
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Telephone | 586-493-7510
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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 |
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License Number State |
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