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General NPI Number Information
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NPI Number | 1558312116
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Entity Type | Organization
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Legal Business Name | FRONT RANGE RADIATION ONCOLOGY
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 5 W DRY CREEK CIR
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City | LITTLETON
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State | CO
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Zip | 80120-4427
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Country | US
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Telephone | 303-738-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 3464 S WILLOW ST
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City | DENVER
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State | CO
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Zip | 80231-4531
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Country | US
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Telephone | 303-755-2900
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Fax | 303-755-0404
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID P SCHREIBER
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Credential | MD
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Telephone | 303-738-8700
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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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