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General NPI Number Information
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NPI Number | 1447236500
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Entity Type | Organization
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Legal Business Name | MARION REGIONAL CANCER CENTER
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1150 CRESCENT HEIGHTS RD
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City | MARION
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State | OH
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Zip | 43302-6406
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Country | US
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Telephone | 740-387-6722
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 182255
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City | COLUMBUS
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State | OH
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Zip | 43218-2255
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Country | US
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Telephone | 614-430-5712
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MIKE WEIR
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Credential |
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Telephone | 740-387-7200
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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 | OH
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