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General NPI Number Information
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NPI Number | 1578741971
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Entity Type | Organization
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Legal Business Name | STARK RADIATION ONCOLOGY INC.
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 300 MEDICAL PARK DR
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City | DOVER
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State | OH
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Zip | 44622-2073
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Country | US
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Telephone | 330-454-2210
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Fax | 330-454-9397
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Provider Business Mailing Address
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Address Line | PO BOX 80468
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City | CANTON
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State | OH
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Zip | 44708-0468
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Country | US
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Telephone | 330-454-2210
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Fax | 330-454-9397
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILIP ALAN SCHNEIDER
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Credential | M.D.
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Telephone | 330-454-2210
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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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