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General NPI Number Information
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NPI Number | 1407109317
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Entity Type | Organization
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Legal Business Name | SPECIALISTS IN UROLOGY, P.A.
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 8350 SIERRA MEADOWS BLVD
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City | NAPLES
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State | FL
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Zip | 34113-7328
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Country | US
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Telephone | 239-434-6300
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Fax | 238-325-2285
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Provider Business Mailing Address
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Address Line | 955 10TH AVE N
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City | NAPLES
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State | FL
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Zip | 34102-5452
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Country | US
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Telephone | 239-434-6300
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Fax | 239-325-2285
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM MATHEW FIGLESTHALER
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Credential | M.D.
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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