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General NPI Number Information
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NPI Number | 1144309048
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Entity Type | Organization
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Legal Business Name | MIDWEST UROLOGY, INC.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 10495 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242-4468
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Country | US
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Telephone | 513-745-9799
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Fax | 513-745-9796
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Provider Business Mailing Address
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Address Line | 10495 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242-4468
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Country | US
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Telephone | 513-745-9799
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Fax | 513-745-9796
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Authorized Official
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Title or Position | MD/ OWNER
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Name | DANIEL L KESSLER
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Credential |
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Telephone | 513-745-9799
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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 | OH
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