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General NPI Number Information
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NPI Number | 1891792941
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Entity Type | Individual
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Provider Name | ROSCOE HO-KEUNG CHAN MD, FRCPC
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 1100 GAIL GARDNER WAY
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City | PRESCOTT
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State | AZ
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Zip | 86305-1690
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Country | US
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Telephone | 928-776-1040
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Fax | 928-776-1041
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Provider Business Mailing Address
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Address Line | 2625 N CRAYCROFT RD STE 221
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City | TUCSON
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State | AZ
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Zip | 85712-2268
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Country | US
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Telephone | 520-519-7700
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Fax | 520-519-5175
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 14370
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | K7259
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD-054897-L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 04-26168
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 14269R
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | M-1541
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License Number State | GU
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Taxonomy #7
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | E-13744
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License Number State | AR
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Taxonomy #8
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 37785
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License Number State | AZ
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