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General NPI Number Information
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NPI Number | 1225226830
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Entity Type | Organization
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Legal Business Name | UROSKILLS UROLOGY PC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 112 FRANKLIN CORNER RD
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2104
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Country | US
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Telephone | 609-895-0158
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Fax | 856-374-2177
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Provider Business Mailing Address
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Address Line | 151 FRIES MILL RD STE 301
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2016
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Country | US
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Telephone | 856-228-5321
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Fax | 856-374-2177
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY B MCKINNEY
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Credential | MD
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Telephone | 856-228-5321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2157241
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License Number State | NY
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