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General NPI Number Information
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NPI Number | 1417020082
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Entity Type | Organization
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Legal Business Name | PRECISION RADIOTHERAPY, LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7710 UNIVERSITY CT
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City | WEST CHESTER
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State | OH
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Zip | 45069-2598
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Country | US
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Telephone | 513-475-7777
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Fax | 513-475-7778
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Provider Business Mailing Address
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Address Line | 2600 EUCLID AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2102
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Country | US
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Telephone | 513-618-2848
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Fax | 513-618-2849
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOSEPH FODOR
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Credential |
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Telephone | 513-618-2850
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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 | 1005RT
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License Number State | OH
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