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General NPI Number Information
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NPI Number | 1386677151
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Entity Type | Organization
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Legal Business Name | AMERICAN RADIATION ONCOLOGY PA
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1102 E CENTENNIAL DR
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City | PITTSBURG
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State | KS
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Zip | 66762-6643
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Country | US
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Telephone | 620-235-7900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5109
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-0119
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Country | US
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Telephone | 541-882-1540
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Fax | 541-882-2583
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Authorized Official
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Title or Position | PRESIDENT
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Name | DUNG B NGUYEN
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Credential | M.D.
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Telephone | 16202357900
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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 | 04-30961
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License Number State | KS
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