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General NPI Number Information
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NPI Number | 1437224011
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Entity Type | Individual
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Provider Name | GORDON OREN SCHOENFELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 220 HAWTHORNE PARK
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City | ATHENS
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State | GA
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Zip | 30606-2148
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Country | US
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Telephone | 706-548-0500
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Fax | 706-548-3575
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Provider Business Mailing Address
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Address Line | 3320 OLD JEFFERSON RD BLDG 800
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City | ATHENS
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State | GA
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Zip | 30607-1400
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Country | US
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Telephone | 706-353-2990
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Fax | 706-353-2992
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | TRN 7014
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 58775
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License Number State | GA
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