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General NPI Number Information
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NPI Number | 1962405456
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Entity Type | Individual
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Provider Name | PHYLLIS JOYCE AGER MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1155 MILL ST MAIL CODE L11
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-4000
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Fax | 775-982-5639
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Provider Business Mailing Address
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Address Line | 780 KUENZLI ST STE 202
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City | RENO
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State | NV
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Zip | 89502-0837
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Country | US
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Telephone | 775-982-5205
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Fax | 775-982-5496
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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 | MD61616345
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | G21590
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License Number State | CA
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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 | 11890
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License Number State | NV
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