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General NPI Number Information
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NPI Number | 1477573996
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Entity Type | Organization
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Legal Business Name | ADULT & PEDIATRIC UROLOGY CENTER, PA
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 1033 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-3517
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Country | US
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Telephone | 973-473-5700
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Fax | 973-473-3367
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Provider Business Mailing Address
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Address Line | 1033 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-3517
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Country | US
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Telephone | 973-473-5700
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Fax | 973-473-3367
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. BURTON A SCHLECKER
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Credential | M.D.
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Telephone | 973-473-5700
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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 | MA47849
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License Number State | NJ
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