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General NPI Number Information
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NPI Number | 1114022787
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR UROLOGIC CARE, PC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 651 COLLIERS WAY STE 509
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City | WEIRTON
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State | WV
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Zip | 26062-5054
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Country | US
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Telephone | 304-723-4610
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Fax | 304-723-5329
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Provider Business Mailing Address
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Address Line | 1000 BOWER HILL RD
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 412-942-2548
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Fax | 412-942-2589
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAY ALLAN LUTINS
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Credential | M.D
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Telephone | 304-723-4610
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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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