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General NPI Number Information
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NPI Number | 1235308115
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Entity Type | Organization
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Legal Business Name | SPECIALISTS IN UROLOGY
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 6101 PINE RIDGE RD DESK 32
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City | NAPLES
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State | FL
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Zip | 34119-3900
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Country | US
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Telephone | 239-352-6670
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Fax | 239-352-7258
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Provider Business Mailing Address
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Address Line | 990 TAMIAMI TRL N SUITE 200
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City | NAPLES
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State | FL
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Zip | 34102-5403
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Country | US
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Telephone | 239-434-6300
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Fax | 239-434-7174
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM M FIGLESTHALER
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Credential | MD
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Telephone | 239-434-6300
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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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