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General NPI Number Information
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NPI Number | 1104730399
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Entity Type | Organization
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Legal Business Name | NOVUM UROLOGY
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 48 TUNNEL RD
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City | POTTSVILLE
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State | PA
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Zip | 17901-3875
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Country | US
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Telephone | 610-952-7571
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Fax |
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Provider Business Mailing Address
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Address Line | 2947 CHEW ST
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City | ALLENTOWN
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State | PA
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Zip | 18104-5367
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | UROLOGIST
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Name | DR. JAMES JOHANNES
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Credential | MD
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Telephone | 610-952-7571
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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 | NULL
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