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General NPI Number Information
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NPI Number | 1922326149
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Entity Type | Organization
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Legal Business Name | PALM RADIATION THERAPY SERVICES PL
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 2828 E COMMERCIAL BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-4206
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Country | US
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Telephone | 860-573-8789
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BAYVIEW DR 710
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4781
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Country | US
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Telephone | 860-573-8789
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ALAN MARTIN PERLMUTTER
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Credential | M.D.
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Telephone | 860-573-8789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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