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General NPI Number Information
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NPI Number | 1891665352
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Entity Type | Organization
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Legal Business Name | ISLAND CANCER CENTER CORPORATION
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 633 GOV CARLOS CAMACHO RD SUITE#B-1
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-646-3363
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Fax |
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Provider Business Mailing Address
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Address Line | 633 GOV CARLOS CAMACHO RD SUITE B-1
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-646-3363
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Fax |
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Authorized Official
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Title or Position | AO
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Name | ARI KATERELOS
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Credential |
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Telephone | 909-475-2700
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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 |
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