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General NPI Number Information
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NPI Number | 1437383908
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Entity Type | Organization
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Legal Business Name | NORTHWOODS UROLOGY ASSOCIATION
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 1140 CYPRESS STATION DR # A
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City | HOUSTON
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State | TX
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Zip | 77090-3045
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Country | US
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Telephone | 281-580-4000
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Fax | 281-580-9999
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Provider Business Mailing Address
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Address Line | P.O.BOX 4959
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City | HOUSTON
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State | TX
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Zip | 77201
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Country | US
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Telephone | 281-404-3000
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Fax | 936-273-5628
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Authorized Official
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Title or Position | M.D.
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Name | DR. PAUL KENWORTHY
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Credential | M.D.
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Telephone | 281-404-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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