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General NPI Number Information
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NPI Number | 1487860193
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Entity Type | Organization
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Legal Business Name | UROLOGICAL CONSULTANTS
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1901 S UNION AVE #A221
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone | 253-572-6835
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Fax | 253-573-9238
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Provider Business Mailing Address
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Address Line | 1901 S UNION AVE #A221
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone | 253-572-6835
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Fax | 253-573-9238
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN A VACCARO
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Credential | MD
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Telephone | 253-572-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD00036292
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD00028510
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License Number State | WA
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Taxonomy #3
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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 | WA
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