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General NPI Number Information
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NPI Number | 1427674613
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Entity Type | Organization
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Legal Business Name | TAMPA ONCOLOGY AND PROTON LLC
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 3001 W DR MARTIN LUTHER KING JR BLVD
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City | TAMPA
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State | FL
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Zip | 33607-6307
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Country | US
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Telephone | 904-219-7660
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Fax | 607-324-7615
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Provider Business Mailing Address
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Address Line | 405 S DALE MABRY HWY # 362
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City | TAMPA
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State | FL
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Zip | 33609-2820
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Country | US
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Telephone | 904-219-7660
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Fax | 607-324-7615
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Authorized Official
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Title or Position | OWNER
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Name | DR. NITESH N PARYANI
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Credential | MD
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Telephone | 904-219-7660
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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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