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General NPI Number Information
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NPI Number | 1912965872
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Entity Type | Organization
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Legal Business Name | CLINICAL RADIOLOGISTS, PC
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 E RIDGEWAY AVE
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City | WATERLOO
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State | IA
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Zip | 50702-5060
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Country | US
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Telephone | 319-272-2800
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Fax | 319-272-2807
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Provider Business Mailing Address
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Address Line | PO BOX 2910
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City | WATERLOO
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State | IA
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Zip | 50704-2910
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Country | US
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Telephone | 319-233-3044
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Fax | 319-233-0722
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH R HOOYMAN
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Credential | M.D.
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Telephone | 319-233-3044
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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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