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General NPI Number Information
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NPI Number | 1841535655
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE ONCOLOGY STRATEGIES,LLC
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 2010 INJO DR
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-5707
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Country | US
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Telephone | 928-453-2636
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Fax | 928-453-2638
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Provider Business Mailing Address
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Address Line | 4932 SW 55TH PL
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City | OCALA
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State | FL
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Zip | 34474-4753
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Country | US
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Telephone | 925-457-1794
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. SACHIN S KAMATH
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Credential | MD
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Telephone | 925-457-1794
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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 | 46711
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License Number State | AZ
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