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General NPI Number Information
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NPI Number | 1609589563
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Entity Type | Organization
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Legal Business Name | SCION CANCER CARE, LLC
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 200 MEDICAL CENTER DR
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City | GADSDEN
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State | AL
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Zip | 35903-1150
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Country | US
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Telephone | 256-494-4965
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Fax |
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Provider Business Mailing Address
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Address Line | 630 RIDGE TOP CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35206-1626
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Country | US
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Telephone | 770-823-6078
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | KEVIN LEE
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Credential | MD
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Telephone | 770-823-6078
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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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