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General NPI Number Information
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NPI Number | 1457384489
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Entity Type | Organization
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Legal Business Name | THE UROLOGY GROUP, PLLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1211 N SHARTEL AVE STE 300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2425
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Country | US
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Telephone | 405-235-8008
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Fax | 405-235-0902
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Provider Business Mailing Address
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Address Line | 1211 N SHARTEL AVE STE 300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2425
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Country | US
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Telephone | 405-235-8008
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Fax | 405-235-0902
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BARBARA G HAGUE
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Credential |
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Telephone | 405-235-8008
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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 |
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License Number State |
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