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General NPI Number Information
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NPI Number | 1093815797
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Entity Type | Organization
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Legal Business Name | UROLOGY ASSOCIATES, P.A.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11 W COLUMBIA STREET
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-422-2484
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Fax | 407-422-8906
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Provider Business Mailing Address
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Address Line | 11 W COLUMBIA STREET
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-422-2484
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Fax | 407-422-8906
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY A. KALSER
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Credential | M.D.
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Telephone | 407-422-2484
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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 | ME0049043
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License Number State | FL
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