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General NPI Number Information
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NPI Number | 1750569836
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Entity Type | Organization
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Legal Business Name | MOUNTAIN RADIATION ONCOLOGY PA
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 90 ASHELAND AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4021
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Country | US
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Telephone | 828-254-1111
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Fax | 828-251-2744
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Provider Business Mailing Address
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Address Line | 90 ASHELAND AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4021
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Country | US
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Telephone | 828-254-1111
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Fax | 828-251-2744
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | KATHY HERRING
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Credential |
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Telephone | 828-254-1111
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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 | NC
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