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General NPI Number Information
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NPI Number | 1720141047
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Entity Type | Organization
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Legal Business Name | FOX VALLEY RADIATION ONCOLOGY LLC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 120 SPALDING DR SUITE 111
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City | NAPERVILLE
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State | IL
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Zip | 60540-6508
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Country | US
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Telephone | 630-646-6161
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Fax | 630-646-6165
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Provider Business Mailing Address
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Address Line | 1005 SHERINGHAM DR
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City | NAPERVILLE
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State | IL
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Zip | 60565-6111
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Country | US
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Telephone | 630-357-4286
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Fax | 630-416-4741
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Authorized Official
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Title or Position | MANAGER PARTNER
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Name | VASUDHA LINGAREDDY
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Credential | MD
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Telephone | 630-646-6161
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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 | IL
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