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General NPI Number Information
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NPI Number | 1609202282
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Entity Type | Organization
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Legal Business Name | RBS EVOLUTION OF JUNEAU LLC
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1701 SALMON CREEK RD
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City | JUNEAU
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State | AK
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Zip | 99801
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Country | US
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Telephone | 907-586-7762
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84923
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City | SEATTLE
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State | WA
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Zip | 98124-6223
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Country | US
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Telephone | 615-746-4711
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Fax | 615-296-0952
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DANIEL MOORE
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Credential |
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Telephone | 615-746-4711
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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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