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General NPI Number Information
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NPI Number | 1174500532
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Entity Type | Organization
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Legal Business Name | UROLOGY CENTER OF THE MIDLANDS
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 2616 MAIN ST
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City | NEWBERRY
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State | SC
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Zip | 29108-4002
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Country | US
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Telephone | 803-276-1822
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Fax | 803-276-1832
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Provider Business Mailing Address
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Address Line | 2616 MAIN ST
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City | NEWBERRY
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State | SC
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Zip | 29108-4002
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Country | US
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Telephone | 803-276-1822
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Fax | 803-276-1832
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. STEVEN P. KERNER
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Credential | D.O.
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Telephone | 803-276-1822
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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 | 917
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License Number State | SC
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