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General NPI Number Information
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NPI Number | 1992712699
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY RADIATION ONCOLOGY MEDICAL GROUP
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 1100 N TUSTIN AVE STE A
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City | SANTA ANA
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State | CA
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Zip | 92705-3509
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Country | US
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Telephone | 714-835-8520
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Fax | 714-835-3610
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Provider Business Mailing Address
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Address Line | 1100 N TUSTIN AVE STE A
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City | SANTA ANA
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State | CA
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Zip | 92705-3509
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Country | US
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Telephone | 714-835-8520
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Fax | 148-353-6107
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHU-PEI FENG
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Credential | MD
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Telephone | 714-835-8520
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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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Taxonomy #2
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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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