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General NPI Number Information
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NPI Number | 1336937093
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Entity Type | Organization
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Legal Business Name | INNOUT UROLOGY OFFICE
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1387 ROUTE 539 UNIT 2C
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-9804
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Country | US
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Telephone | 888-433-9360
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Fax | 609-355-4777
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Provider Business Mailing Address
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Address Line | 601 WASHINGTON AVE STE J1002
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City | STAFFORD TWP
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State | NJ
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Zip | 08050-2801
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Country | US
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Telephone | 888-433-9360
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Fax | 609-355-4777
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEO NEIL LIGON
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Credential | APN
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Telephone | 888-433-9360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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