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General NPI Number Information
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NPI Number | 1578510582
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Entity Type | Organization
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Legal Business Name | ORLANDO CANCER CENTER INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 1400 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2134
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Country | US
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Telephone | 407-648-3800
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Fax | 407-425-5203
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Provider Business Mailing Address
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Address Line | 1400 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2134
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Country | US
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Telephone | 407-648-3800
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Fax | 407-425-5203
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MARK ROH
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Credential | MD
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Telephone | 407-648-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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