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General NPI Number Information
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NPI Number | 1669671855
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RADIATION ONCOLOGISTS
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 624 S TONOPAH DR
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City | LAS VEGAS
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State | NV
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Zip | 89106-4029
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Country | US
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Telephone | 702-735-0006
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Fax | 325-949-6949
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Provider Business Mailing Address
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Address Line | 624 S TONOPAH DR
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City | LAS VEGAS
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State | NV
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Zip | 89106-4029
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Country | US
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Telephone | 702-735-0006
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Fax | 325-949-6949
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GREGORY ALAN DEAN
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Credential | MEDICAL DOCTOR
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Telephone | 702-735-0006
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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 | NV
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