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General NPI Number Information
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NPI Number | 1437104262
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Entity Type | Organization
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Legal Business Name | UROPARTNERS, LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 9669 N KENTON AVE STE 608
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City | SKOKIE
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State | IL
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Zip | 60076-1248
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Country | US
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Telephone | 847-677-4111
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Fax | 847-677-3343
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Provider Business Mailing Address
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Address Line | 9669 N KENTON AVE STE 608
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City | SKOKIE
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State | IL
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Zip | 60076-1248
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Country | US
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Telephone | 847-677-4111
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Fax | 847-677-3343
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | RICHARD HARRIS
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Credential | MD
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Telephone | 708-450-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 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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