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General NPI Number Information
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NPI Number | 1487464012
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Entity Type | Organization
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Legal Business Name | ATLAS SHRUGGED HOLDINGS LLC/DBA ATLAS UROLOGY
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 3303 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-2550
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Country | US
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Telephone | 941-324-2550
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Fax | 941-254-3422
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Provider Business Mailing Address
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Address Line | 3303 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-2550
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Country | US
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Telephone | 941-324-2550
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Fax | 941-251-3422
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Authorized Official
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Title or Position | MD, OWNER
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Name | DR. BRYAN JOSEPH ALLEN
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Credential |
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Telephone | 813-420-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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