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General NPI Number Information
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NPI Number | 1801619176
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Entity Type | Individual
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Provider Name | KAIMING GUO MEDICAL PHYSICIST
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Gender | Male
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | DANA CANCER CENTER RM 2050F MS 1151,3000 ARLINGTON AVE
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City | TOLEDO
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State | OH
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Zip | 43614
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Country | US
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Telephone | 801-514-6661
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Fax |
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Provider Business Mailing Address
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Address Line | DANA CANCER CENTER RM 2050F MS 1151,3000 ARLINGTON AVE
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City | TOLEDO
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State | OH
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Zip | 43614
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Country | US
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Telephone | 801-514-6661
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | TMP02000663
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License Number State | TX
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