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General NPI Number Information
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NPI Number | 1841287802
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Entity Type | Organization
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Legal Business Name | PRECISION RADIATION ONCOLOGY, LLC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 6030 HOLLYWOOD BLVD STE 100
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City | HOLLYWOOD
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State | FL
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Zip | 33024-7923
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Country | US
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Telephone | 954-322-7200
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Fax | 954-322-7203
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Provider Business Mailing Address
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Address Line | 6030 HOLLYWOOD BLVD STE 100
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City | HOLLYWOOD
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State | FL
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Zip | 33024-7923
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Country | US
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Telephone | 954-322-7200
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Fax | 954-322-7203
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOKE T HAN
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Credential | MD
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Telephone | 954-322-7200
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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 | FL
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