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General NPI Number Information
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NPI Number | 1740177849
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Entity Type | Organization
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Legal Business Name | NEVADA ONCOLOGY SPECIALISTS TOY GOODMAN SAMLOWSKI PC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2050 PINTO LN STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89106-4019
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Country | US
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Telephone | 702-604-5274
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Fax | 702-725-4348
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Provider Business Mailing Address
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Address Line | 192 WEBSTER WAY
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City | HENDERSON
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State | NV
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Zip | 89074-0622
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Country | US
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Telephone | 702-604-5274
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Fax | 702-604-5274
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Authorized Official
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Title or Position | DIRECTOR/ADMINISTRATOR
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Name | SUSAN L TRANQUILLO
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Credential |
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Telephone | 702-604-5274
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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 |
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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