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General NPI Number Information
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NPI Number | 1548683022
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Entity Type | Organization
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Legal Business Name | METROPOLITAN RADIATION ONCOLOGY CONSULTING PC
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 686 STONELEIGH AVE.
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City | CARMEL
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State | NY
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Zip | 10512
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Country | US
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Telephone | 845-661-2126
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Fax |
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Provider Business Mailing Address
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Address Line | 136 DORCHESTER DR. ALFRED TINGER, MD
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598
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Country | US
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Telephone | 845-661-2126
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CAROLYN PLATT
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Credential |
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Telephone | 845-661-2126
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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 | NY
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