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General NPI Number Information
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NPI Number | 1083794705
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Entity Type | Organization
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Legal Business Name | ASHEBORO UROLOGY CLINIC, PA
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 283 WHITE OAK ST
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City | ASHEBORO
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State | NC
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Zip | 27203-5431
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Country | US
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Telephone | 336-625-3997
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Fax |
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Provider Business Mailing Address
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Address Line | 283 WHITE OAK ST
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City | ASHEBORO
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State | NC
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Zip | 27203-5431
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Country | US
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Telephone | 336-625-3997
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DALJIT S CABERWAL
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Credential | M.D.
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Telephone | 336-625-3997
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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 |
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License Number State |
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