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General NPI Number Information
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NPI Number | 1558839613
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGY ASSOCIATES, PA
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 295 VARNUM AVE
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City | LOWELL
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State | MA
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Zip | 01854-2134
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Country | US
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Telephone | 978-937-6274
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Fax | 978-934-8190
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Provider Business Mailing Address
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Address Line | PO BOX 689
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City | BOALSBURG
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State | PA
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Zip | 16827-0689
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Country | US
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Telephone | 814-237-8627
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Fax | 814-238-0083
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS SHELDON
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Credential |
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Telephone | 603-373-0266
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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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