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General NPI Number Information
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NPI Number | 1700942562
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Entity Type | Individual
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Provider Name | CURTILAND DEVILLE JR. MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST 2 DONNER BLDG.
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-662-2428
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 CIVIC CENTER BLVD PCAM TRC 2
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5127
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Country | US
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Telephone | 215-614-0461
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | D0078740
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA08827800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD432945
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License Number State | PA
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