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General NPI Number Information
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NPI Number | 1699922005
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Entity Type | Organization
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Legal Business Name | ALPINE RADIATION ONCOLOGY SERVICES, PLLC
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 02/12/2011
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Provider Practice Location Address
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Address Line | 120 OLD LARAMIE TRL E
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City | LAFAYETTE
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State | CO
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Zip | 80026-7012
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Country | US
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Telephone | 303-926-9800
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Fax | 303-926-9801
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Provider Business Mailing Address
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Address Line | 120 OLD LARAMIE TRL E
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City | LAFAYETTE
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State | CO
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Zip | 80026-7012
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Country | US
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Telephone | 303-926-9800
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Fax | 303-926-9801
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LEE K MCNEELY
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Credential | MD
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Telephone | 303-926-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | 29699
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License Number State | CO
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