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General NPI Number Information
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NPI Number | 1013391820
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Entity Type | Organization
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Legal Business Name | UROLOGY ASSOCIATES, LTD.
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 14101 FAIRVIEW DR SUITE 280
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City | BURNSVILLE
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State | MN
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Zip | 55337-4590
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Country | US
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Telephone | 952-927-6501
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Fax |
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Provider Business Mailing Address
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Address Line | 6525 FRANCE AVE S SUITE 200
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City | EDINA
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State | MN
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Zip | 55435-2148
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Country | US
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Telephone | 952-927-6501
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BARBARA WEDEKIND
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Credential |
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Telephone | 952-927-6501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 130
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License Number State | MN
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