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General NPI Number Information
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NPI Number | 1467734053
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Entity Type | Organization
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Legal Business Name | UPPER WESTCHESTER RADIATION ONCOLOGY, PLLC
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 3795 CROMPOND ROAD
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-7220
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Country | US
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Telephone | 914-602-1425
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Fax | 219-756-3100
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Provider Business Mailing Address
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Address Line | 950A UNION RD SUITE 424
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City | WEST SENECA
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State | NY
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Zip | 14224-3465
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Country | US
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Telephone | 716-677-4162
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Fax | 716-677-4163
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CHITTI R. MOORTHY
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Credential | M.D.
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Telephone | 914-602-1425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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