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General NPI Number Information
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NPI Number | 1649076449
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Entity Type | Organization
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Legal Business Name | PREMIER RADIATION ONCOLOGY SERVICES LLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 3201 SW 33RD RD
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City | OCALA
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State | FL
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Zip | 34474-7459
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Country | US
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Telephone | 352-282-0232
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 SW 34TH AVE STE 905 UNIT 284
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City | OCALA
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State | FL
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Zip | 34474-7459
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Country | US
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Telephone | 352-282-0232
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Fax |
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Authorized Official
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Title or Position | OWNER, COO
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Name | DR. RAVICHANDRA KUMAR SANDRAPATY
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Credential | MD
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Telephone | 352-427-6227
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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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