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General NPI Number Information
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NPI Number | 1417127283
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Entity Type | Organization
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Legal Business Name | SEBRING UROLOGY CENTER
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 6801 U S HWY 27 NORTH SUITE C2
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 863-382-0333
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Fax | 863-382-8777
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Provider Business Mailing Address
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Address Line | 6801 U S 27 N SUITE C 2
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 863-382-0333
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Fax | 863-382-8777
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY J ARCIOLA
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Credential |
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Telephone | 863-382-0333
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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 | 49361
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License Number State | FL
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