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General NPI Number Information
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NPI Number | 1356825368
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Entity Type | Organization
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Legal Business Name | UROLOGY CONSULTANTS INC
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 8708 PERIMETER PARK BLVD STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1107
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Country | US
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Telephone | 904-900-3581
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Fax | 855-750-7842
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Provider Business Mailing Address
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Address Line | 12620-3 BEACH BLVD STE 254
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City | JACKSONVILLE
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State | FL
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Zip | 32246-7130
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Country | US
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Telephone | 904-900-3581
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Fax | 855-750-7842
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER R WILLIAMS
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Credential | MD
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Telephone | 904-900-3581
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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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