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General NPI Number Information
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NPI Number | 1154903904
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Entity Type | Organization
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Legal Business Name | ADVANCED UROLOGY, PLLC
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 5275 DTC PKWY
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2772
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Country | US
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Telephone | 866-953-3111
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Fax | 443-471-8540
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Provider Business Mailing Address
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Address Line | 10200 GRAND CENTRAL AVE STE 220
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4366
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Country | US
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Telephone | 866-953-3111
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Fax | 443-471-8540
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOHN KEFER
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Credential | MD
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Telephone | 303-666-4343
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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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