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General NPI Number Information
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NPI Number | 1508051533
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN RADIATION ONCOLOGY, PC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 18101 OAKWOOD BLVD RADIATION ONCOLOGY DEPARTMENT
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City | DEARBORN
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State | MI
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Zip | 48124-4089
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Country | US
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Telephone | 313-593-5852
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Fax | 313-436-2820
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Provider Business Mailing Address
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Address Line | 1997 MEADOW CT
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-1242
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Country | US
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Telephone | 313-436-2208
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Fax | 313-436-2820
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OMAR MAURICIO SALAZAR
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Credential | MD
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Telephone | 313-593-5852
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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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