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General NPI Number Information
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NPI Number | 1922189752
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE ONCOLOGY, LLC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 15 VALLEY DR 2ND FLOOR
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City | GREENWICH
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State | CT
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Zip | 06831-5205
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Country | US
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Telephone | 203-869-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 15 VALLEY DR 2ND FLOOR
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City | GREENWICH
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State | CT
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Zip | 06831-5205
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Country | US
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Telephone | 203-869-2111
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER/PHYSICIAN
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Name | DR. DONALD BARRY BOYD
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Credential | M.D.
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Telephone | 203-869-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 27275
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License Number State | CT
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