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General NPI Number Information
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NPI Number | 1508823568
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE RADIATION ONCOLOGY PA
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2000 E GREENVILLE ST
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City | ANDERSON
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State | SC
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Zip | 29621-1580
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Country | US
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Telephone | 864-512-4600
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Fax | 864-512-4621
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Provider Business Mailing Address
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Address Line | PO BOX 96803
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City | CHARLOTTE
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State | NC
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Zip | 28296-6803
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Country | US
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Telephone | 864-512-4600
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Fax | 864-512-4621
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Authorized Official
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Title or Position | MD
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Name | WILLIAM V TOMLINSON
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Credential | MD
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Telephone | 864-512-4600
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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 | 11136
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License Number State | SC
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