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General NPI Number Information
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NPI Number | 1700860681
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Entity Type | Organization
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Legal Business Name | EPIRAD INC.,
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Dates
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Enumeration Date | 12/03/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 SE OSCEOLA ST STE. 2
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City | STUART
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State | FL
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Zip | 34994-2504
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Country | US
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Telephone | 772-463-2346
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Fax | 772-463-2310
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Provider Business Mailing Address
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Address Line | 4400 COUNTRY CLUB DR
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City | DICKINSON
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State | TX
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Zip | 77539-7620
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Country | US
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Telephone | 281-337-3423
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Fax | 281-337-2611
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD HARLAN WOODY
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Credential | M.D.,
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Telephone | 772-463-2346
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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 |
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License Number State |
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