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General NPI Number Information
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NPI Number | 1891727657
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Entity Type | Organization
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Legal Business Name | THE HAROLD LEEVER REGIONAL CANCER CENTER INC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 1075 CHASE PKWY
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City | WATERBURY
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State | CT
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Zip | 06708-2948
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Country | US
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Telephone | 203-575-5555
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Fax | 203-575-5562
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Provider Business Mailing Address
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Address Line | 1075 CHASE PKWY
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City | WATERBURY
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State | CT
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Zip | 06708-2948
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Country | US
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Telephone | 203-575-5555
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Fax | 203-575-5562
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | THOMAS BELZEK
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Credential |
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Telephone | 203-575-5563
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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 | 0377
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License Number State | CT
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