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General NPI Number Information
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NPI Number | 1457599334
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Entity Type | Organization
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Legal Business Name | THE UROLOGY INSTITUTE FRSICO
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 9 MEDICAL PKWY STE 307
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City | DALLAS
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State | TX
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Zip | 75234-7855
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Country | US
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Telephone | 972-243-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 COIT RD SUITE 405
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City | FRISCO
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State | TX
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Zip | 75035-0500
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Country | US
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Telephone | 469-633-0095
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Fax | 469-633-0096
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | STACEY L SIFERT
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Credential |
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Telephone | 214-343-7990
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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 | H5889
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License Number State | TX
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