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General NPI Number Information
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NPI Number | 1790320380
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Entity Type | Organization
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Legal Business Name | STRATA ONCOLOGY, INC.
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 8170 JACKSON RD STE A
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City | ANN ARBOR
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State | MI
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Zip | 48103-9100
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Country | US
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Telephone | 734-527-1000
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Fax | 734-661-1958
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Provider Business Mailing Address
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Address Line | 8170 JACKSON RD STE A
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City | ANN ARBOR
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State | MI
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Zip | 48103-9100
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Country | US
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Telephone | 734-527-1000
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Fax | 734-661-1958
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER & LAB DIR.
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Name | DR. SCOTT A. TOMLINS
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Credential | MD, PHD
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Telephone | 734-527-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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