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General NPI Number Information
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NPI Number | 1972628675
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Entity Type | Organization
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Legal Business Name | ARIZONA ONCOLOGY SERVICES INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 300 W CLARENDON SUITE 350
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City | PHOENIX
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State | AZ
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Zip | 85013
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Country | US
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Telephone | 602-274-4484
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Fax | 602-287-9406
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Provider Business Mailing Address
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Address Line | 300 W CLARENDON SUITE 350
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City | PHOENIX
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State | AZ
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Zip | 85013
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Country | US
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Telephone | 602-274-4484
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Fax | 602-287-9406
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Authorized Official
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Title or Position | PRESIDENT
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Name | BURTON L SPEISER
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Credential | MD
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Telephone | 602-240-3468
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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 | 11736
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License Number State | AZ
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