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General NPI Number Information
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NPI Number | 1275559874
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Entity Type | Organization
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Legal Business Name | COLLIN COUNTY UROLOGY
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 1220 COIT ROAD STE 107
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City | PLANO
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State | TX
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Zip | 75075-7757
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Country | US
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Telephone | 972-596-6733
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Fax | 972-964-3591
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Provider Business Mailing Address
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Address Line | 1220 COIT ROAD STE 107
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City | PLANO
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State | TX
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Zip | 75075-7757
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Country | US
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Telephone | 972-596-6733
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Fax | 972-964-3591
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ALAN LEE FREEMAN
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Credential | MD
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Telephone | 972-596-6733
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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 | D7972
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License Number State | TX
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