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General NPI Number Information
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NPI Number | 1770736324
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGISTS OF CENTRAL ARIZONA
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 4611 E. SHEA BLVD STE 120
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City | PHOENIX
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State | AZ
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Zip | 85028-4245
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Country | US
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Telephone | 602-441-3845
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Fax | 602-464-9769
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Provider Business Mailing Address
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Address Line | 4611 E. SHEA BLVD STE 120
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City | PHOENIX
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State | AZ
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Zip | 85028-4254
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Country | US
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Telephone | 602-441-3845
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Fax | 602-464-9769
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Authorized Official
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Title or Position | MANAGEMENT/COMMITTEE MEMBER
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Name | DR. JOHN KRESL
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Credential | M.D., PH.D
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Telephone | 602-441-3845
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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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