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General NPI Number Information
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NPI Number | 1407271141
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Entity Type | Organization
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Legal Business Name | UROSYNERGY,INC
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 550 SW 3RD ST SUITE 100
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6934
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Country | US
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Telephone | 954-210-5563
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Fax |
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Provider Business Mailing Address
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Address Line | 5489 WILES RD SUITE 302
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4220
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Country | US
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Telephone | 954-210-5563
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DR. CAROL CHRISTINE JOHNSON MCGREGOR
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Credential | FNP-BC
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Telephone | 954-210-5563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3090472
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License Number State | FL
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