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General NPI Number Information
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NPI Number | 1801910492
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Entity Type | Organization
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Legal Business Name | CHRISTUS SANTA ROSA CANCER CENTER
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 310 N SAN SABA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3199
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Country | US
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Telephone | 210-450-1000
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Fax | 210-692-9822
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Provider Business Mailing Address
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Address Line | 310 N SAN SABA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3199
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Country | US
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Telephone | 210-450-1000
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Fax | 210-692-9822
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT FINANCIAL SERV
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Name | DEBORAH IVY
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Credential |
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Telephone | 210-450-5840
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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 | L00556
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | R19494
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License Number State | TX
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